PARK NICOLLET: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PARK NICOLLET (EIN 45-5023260)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-15
- IRS object ID
- 202033209349301908
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-15T19:02:26-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 WELLS FARGO CENTER 90S 7TH | AddressLine1Txt |
| Address Line2 | STREET | AddressLine2Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455023260 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK NICOLLET GROUP RETURN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 9528837124 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 EXCELSIOR BLVD | AddressLine1Txt |
| City | ST LOUIS PARK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55426 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN CONNELLY MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9529676090 | PhoneNum |
| Signature | 2020-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MONROE JORDAN GIERL | PreparerPersonNm |
| PTIN | P01413237 | PTIN |
| Phone | 6123055000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 198.153.9.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-15 | IPDt |
| IP Tm | 16:35:07 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 763097D6A2B3EA9277A508CC789A2C5E6C07E1F2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 763097D6A2B3EA9277A508CC789A2C5E6C07E1F2 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN CONNELLY MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 EXCELSIOR BLVD | AddressLine1Txt |
| City | SLP | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,900,049,369 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (1) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Group Exemption | 5874 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKNICOLLET.COM | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 1637 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,464,039 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,674,166 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,608,950,783 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,683,325,963 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,113,345 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,398,742 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,161,900 | PYOtherRevenueAmt |
| CY Other Revenue | $7,336,298 | CYOtherRevenueAmt |
| PY Total Revenue | $1,650,690,067 | PYTotalRevenueAmt |
| CY Total Revenue | $1,725,735,169 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $95,154 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $88,599 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,019,361,905 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,079,442,091 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $396,009 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $543,199,699 | PYOtherExpensesAmt |
| CY Other Expenses | $576,157,249 | CYOtherExpensesAmt |
| PY Total Expenses | $1,562,656,758 | PYTotalExpensesAmt |
| CY Total Expenses | $1,655,687,939 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $88,033,309 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $70,047,230 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,202,718,237 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,328,602,033 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $448,599,825 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $464,832,720 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $754,118,412 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $863,769,313 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,437,595,795 | ExpenseAmt |
| Grant | $88,599 | GrantAmt |
| Revenue | $1,683,325,963 | RevenueAmt |
| Desc | SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $1,437,595,795 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARILYN CAMPBELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9528835613 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8170 33RD AVE S | AddressLine1Txt |
| City | BLOOMINGTON | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55440 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JEFF MENDELOFF MD | |||||||||
| DIRECTOR | 72.00 | 1.00 | Yes (X) | $1,017,848 | $0 | $73,952 | |||
| BRAD WOZNEY MD | |||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $30,000 | $0 | |||
| RUTH MICKELSEN | |||||||||
| DIRECTOR | 3.70 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| JAMES MALECHA | |||||||||
| DIRECTOR & CHAIR | 5.10 | 0.00 | Yes (X) | $0 | $50,000 | $0 | Yes (X) | ||
| THOMAS R BRINSKO | |||||||||
| DIRECTOR | 3.50 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| LUZ MARIA FRIAS | |||||||||
| DIRECTOR | 2.80 | 0.00 | Yes (X) | $0 | $30,000 | $0 | |||
| MORRIS GOODWIN | |||||||||
| DIRECTOR | 3.40 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| DEBORAH HOPP | |||||||||
| DIRECTOR | 3.50 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| SUSAN L HOYT | |||||||||
| DIRECTOR | 3.10 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| LAURA OBERST | |||||||||
| DIRECTOR & VICE CHAIR | 3.40 | 0.00 | Yes (X) | $0 | $33,000 | $0 | Yes (X) | ||
| BRIAN H RANK MD | |||||||||
| DIRECTOR | 3.20 | 61.80 | Yes (X) | $0 | $1,023,330 | $128,165 | Yes (X) | ||
| AMY LANGER | |||||||||
| DIRECTOR | 4.50 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| PHILIP DONALDSON | |||||||||
| DIRECTOR & TREASURER | 2.90 | 0.00 | Yes (X) | $0 | $33,000 | $0 | Yes (X) | ||
| SONDRA SAMUELS | |||||||||
| DIRECTOR | 2.60 | 0.00 | Yes (X) | $0 | $30,000 | $0 | |||
| RAE ANN WILLIAMS MD | |||||||||
| DIRECTOR | 39.00 | 1.00 | Yes (X) | $345,167 | $0 | $108,640 | |||
| ANDREA M WALSH | |||||||||
| DIRECTOR & CEO | 1.00 | 54.00 | Yes (X) | $0 | $1,912,669 | $531,759 | Yes (X) | ||
| STEVEN CONNELLY MD | |||||||||
| PRESIDENT PNHS | 64.00 | 1.00 | $0 | $874,457 | $154,114 | Yes (X) | |||
| TRICIA DEGE | |||||||||
| CFO CARE DELIVERY (AUG-DEC) | 20.00 | 20.00 | $0 | $500,227 | $107,135 | Yes (X) | |||
| NANCY EVERT | |||||||||
| SR. VP, GENERAL COUNSEL | 54.00 | 1.00 | $0 | $401,500 | $108,606 | Yes (X) | |||
| LAURA LOBERG | |||||||||
| VP SURGICAL SERVICES | 39.00 | 1.00 | $0 | $390,268 | $93,935 | Yes (X) | |||
| TOM JONES MD | |||||||||
| SR. MEDICAL DIRECTOR, SURG | 59.00 | 1.00 | $0 | $863,185 | $104,536 | Yes (X) | |||
| STEVEN HOUSH | |||||||||
| VP, ORTHOPAEDIC SERVICES | 49.00 | 1.00 | $0 | $413,934 | $56,119 | Yes (X) | |||
| KATE KEIPER | |||||||||
| VP HUMAN RESOURCES | 49.00 | 1.00 | $0 | $325,299 | $42,780 | Yes (X) | |||
| KATE KLUGHERZ | |||||||||
| VP SPECIALTY SERVICES | 49.00 | 1.00 | $0 | $397,376 | $98,515 | Yes (X) | |||
| CATHERINE LENAGH | |||||||||
| VP & CFO (DEC-AUG) | 39.00 | 1.00 | $0 | $575,241 | $50,573 | Yes (X) | |||
| KRISTI LYON | |||||||||
| VP PAYER RELATIONS | 49.00 | 1.00 | $0 | $401,068 | $108,938 | Yes (X) | |||
| JIM LYONS | |||||||||
| HUTCHINSON PRESIDENT | 5.00 | 50.00 | $0 | $242,980 | $45,541 | Yes (X) | |||
| JOAN SANDSTROM | |||||||||
| VP PRIMARY CARE | 49.00 | 1.00 | $0 | $450,160 | $95,913 | Yes (X) | |||
| MARK SANNESMD | |||||||||
| SR MEDICAL DIRECTOR | 49.00 | 1.00 | $0 | $597,619 | $94,582 | Yes (X) | |||
| MELISSA SCHOENHERR | |||||||||
| VP MARKETING AND COMMUNICA | 39.00 | 1.00 | $0 | $395,849 | $111,435 | Yes (X) | |||
| MICHAEL SEIM MD | |||||||||
| MEDICAL AFFAIRS & CMO | 39.00 | 1.00 | $0 | $452,866 | $90,000 | Yes (X) | |||
| DUANE SPIEGLE | |||||||||
| VP REAL ESTATE AND SUPPORT | 49.00 | 1.00 | $0 | $398,728 | $108,671 | Yes (X) | |||
| MATT WESTERLUND | |||||||||
| VP QUALITY AND SAFTEY | 49.00 | 1.00 | $0 | $172,319 | $68,524 | Yes (X) | |||
| JOSHUA ZIMMERMAN | |||||||||
| SR MEDICAL DIRECTOR | 39.00 | 1.00 | $0 | $519,696 | $78,819 | Yes (X) | |||
| NANCY MCCLURE | |||||||||
| CHIEF OPERATING OFFICER | 20.00 | 30.00 | $0 | $977,612 | $128,626 | Yes (X) | |||
| BARBARA TRETHEWAY | |||||||||
| SR. VP, GENERAL COUNSEL | 5.00 | 50.00 | $0 | $613,506 | $35,592 | Yes (X) | |||
| JENNIFER MYSTER | |||||||||
| METHODIST PRESIDENT | 49.00 | 1.00 | $0 | $470,602 | $83,048 | Yes (X) | |||
| KASEY PAULUS | |||||||||
| VP INPATIENT & CNO | 49.00 | 1.00 | $0 | $258,686 | $28,191 | Yes (X) | |||
| TOM WALSH MD | |||||||||
| SR. MEDICAL DIRECTOR ORTHOPAEDIC SERVICES | 49.00 | 1.00 | $0 | $865,440 | $62,745 | Yes (X) | |||
| PETER LEE MD | |||||||||
| MEDICAL DOCTOR | 40.00 | 0.00 | $1,460,505 | $0 | $75,912 | Yes (X) | |||
| ROBERT WERLING MD | |||||||||
| MEDICAL DOCTOR | 40.00 | 0.00 | $1,244,867 | $0 | $77,244 | Yes (X) | |||
| GREGORY R HILDEBRAND | |||||||||
| MEDICAL DOCTOR | 40.00 | 0.00 | $1,063,420 | $0 | $52,538 | Yes (X) | |||
| MARK WILCZYNSKI MD | |||||||||
| MEDICAL DOCTOR | 40.00 | 0.00 | $1,012,283 | $0 | $75,325 | Yes (X) | |||
| BRIAN WALTERS MD | |||||||||
| MEDICAL DOCTOR | 90.00 | 0.00 | $1,460,281 | $0 | $63,821 | Yes (X) | |||
| CARA HULL | |||||||||
| FORMER VP HUMAN RESOURCES | 0.00 | 40.00 | $0 | $482,378 | $56,687 | Yes (X) | |||
| THEODORE WEGLEITNER | |||||||||
| FORMER COO TRIA | 0.00 | 53.00 | $0 | $548,976 | $116,564 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,604,371 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $15,929,971 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,317,545 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1651 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GROUP HEALTH PLAN INC | |||||
| 8170 33RD AVE S | MINNEAPOLIS | MN | 55440 | ADMINSTRATIVE SERVICES | $64,403,632 |
| RJM CONSTRUCTION | |||||
| 830 BOONE AVE N | GOLDEN VALLEY | MN | 55427 | CONSTRUCTION SERVICES | $38,386,689 |
| KRAUS-ANDERSON CONST CO | |||||
| 525 S 8TH ST | MINNEAPOLIS | MN | 55404 | CONSTRUCTION SERVICES | $31,216,618 |
| FAVORITE HEALTHCARE STAFFING | |||||
| PO BOX 26225 | OVERLAND PARK | KS | 66225 | STAFFING | $4,201,287 |
| PRESCRIPTON LANDSCAPE | |||||
| 481 FRONT AVE | ST PAUL | MN | 55117 | LANDSCAPING | $3,573,999 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 228 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $12,560,832 | RelatedOrganizationsAmt |
| Government Grants | $113,334 | GovernmentGrantsAmt |
| Total Contributions | $12,674,166 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL SERVICES | 621400 | $1,529,188,233 | $1,529,188,233 |
| SERVICES TO AFFILIATES | 561000 | $80,093,787 | $80,093,787 |
| RETAIL SALES | 446110 | $74,043,943 | $74,043,943 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,683,325,963 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,814,434 | TotalRevenueColumnAmt |
| Exclusion | $13,814,434 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,297,154 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $932,156 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $364,998 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $364,998 | TotalRevenueColumnAmt |
| Exclusion | $364,998 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $181,414,777 | SecuritiesAmt |
| Other | $225,426 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $172,963,494 | SecuritiesAmt |
| Other | $92,401 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,451,283 | SecuritiesAmt |
| Other | $133,025 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,584,308 | TotalRevenueColumnAmt |
| Exclusion | $8,584,308 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $472,680 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $326,149 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,531 | TotalRevenueColumnAmt |
| Exclusion | $146,531 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PROPERTY MANAGEMENT | 812930 | $3,800,791 | $3,800,791 |
| CAFETERIA | 722210 | $2,888,279 | $2,888,279 |
| MISC | 722210 | $135,699 | $135,699 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,824,769 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,725,735,169 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,683,325,963 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,735,040 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,599 | TotalAmt |
| Program Services | $68,599 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Program Services | $20,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,363,015 | TotalAmt |
| Program Services | $237,889 | ProgramServicesAmt |
| Management And General | $1,125,126 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $947,048,364 | TotalAmt |
| Program Services | $833,229,702 | ProgramServicesAmt |
| Management And General | $113,470,771 | ManagementAndGeneralAmt |
| Fundraising | $347,891 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,508,743 | TotalAmt |
| Program Services | $41,799,022 | ProgramServicesAmt |
| Management And General | $5,692,269 | ManagementAndGeneralAmt |
| Fundraising | $17,452 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,938,843 | TotalAmt |
| Program Services | $32,462,492 | ProgramServicesAmt |
| Management And General | $4,462,797 | ManagementAndGeneralAmt |
| Fundraising | $13,554 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,583,126 | TotalAmt |
| Program Services | $40,984,648 | ProgramServicesAmt |
| Management And General | $5,581,366 | ManagementAndGeneralAmt |
| Fundraising | $17,112 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,556 | TotalAmt |
| Management And General | $374,556 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,835 | TotalAmt |
| Management And General | $26,835 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,904 | TotalAmt |
| Management And General | $451,904 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,388,195 | TotalAmt |
| Program Services | $32,058,009 | ProgramServicesAmt |
| Management And General | $16,330,186 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,669,425 | TotalAmt |
| Program Services | $1,168,325 | ProgramServicesAmt |
| Management And General | $501,100 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,723,901 | TotalAmt |
| Program Services | $7,913,882 | ProgramServicesAmt |
| Management And General | $3,810,019 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,947,968 | TotalAmt |
| Program Services | $3,366,768 | ProgramServicesAmt |
| Management And General | $581,200 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,250,327 | TotalAmt |
| Program Services | $30,744,252 | ProgramServicesAmt |
| Management And General | $7,506,075 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,819 | TotalAmt |
| Program Services | $1,304,696 | ProgramServicesAmt |
| Management And General | $307,123 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,088 | TotalAmt |
| Program Services | $227,657 | ProgramServicesAmt |
| Management And General | $71,431 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,064,689 | TotalAmt |
| Program Services | $14,064,689 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,756,281 | TotalAmt |
| Program Services | $54,231,268 | ProgramServicesAmt |
| Management And General | $11,525,013 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,954,000 | TotalAmt |
| Program Services | $11,861,271 | ProgramServicesAmt |
| Management And General | $92,729 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND DR | $285,110,773 | $284,899,230 | $211,543 |
| SUBSCRIPTIONS, FEES, DU | $35,237,812 | $11,136,198 | $24,101,614 |
| TRAINING AND EDUCATION | $24,519,639 | $24,353,084 | $166,555 |
| MANAGEMENT FEES | $20,246,349 | $20,246,349 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,523,688 | TotalAmt |
| Program Services | $11,464,114 | ProgramServicesAmt |
| Management And General | $1,059,574 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,655,687,939 | TotalAmt |
| Program Services | $1,437,595,795 | ProgramServicesAmt |
| Management And General | $217,696,135 | ManagementAndGeneralAmt |
| Fundraising | $396,009 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,601 | BOYAmt |
| EOY | $290,276 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,491,203 | BOYAmt |
| EOY | $169,630,985 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,121,719 | BOYAmt |
| EOY | $12,732,222 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,378,177 | BOYAmt |
| EOY | $3,113,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,416,068,342 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $924,837,557 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $454,147,335 | BOYAmt |
| EOY | $491,230,785 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $428,224,709 | BOYAmt |
| EOY | $485,203,983 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,678,299 | BOYAmt |
| EOY | $1,709,504 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,549,194 | BOYAmt |
| EOY | $164,690,966 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,202,718,237 | BOYAmt |
| EOY | $1,328,602,033 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,788,350 | BOYAmt |
| EOY | $66,433,892 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,063 | BOYAmt |
| EOY | $563,594 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,633,570 | BOYAmt |
| EOY | $305,252,865 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,824,842 | BOYAmt |
| EOY | $92,582,369 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,599,825 | BOYAmt |
| EOY | $464,832,720 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $753,642,432 | BOYAmt |
| EOY | $863,318,737 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,980 | BOYAmt |
| EOY | $450,576 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $754,118,412 | BOYAmt |
| EOY | $863,769,313 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,202,718,237 | BOYAmt |
| EOY | $1,328,602,033 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $70,047,230 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $42,276,426 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $365,900 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$3,038,655 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I | PARK NICOLLET METHODIST HOSPITAL LINE 3: 170(B)(1)(A)(III) PARK NICOLLET CLINIC LINE 3: 170(B)(1)(A)(III) PARK NICOLLET HEALTH CARE PRODUCTS LINE 12 TYPE I, 509(A)(3) PNMC HOLDINGS LINE 12 TYPE II, 509(A)(3) |
| PART II , LINE 12 | SUPPORTING ORGANIZATIONS DETAIL: PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS PROVIDE SUPPORT TO THE FOLLOWING ORGANIZATIONS: PNMC HOLDINGS: LINE 12, COLUMN (I) PARK NICOLLET CLINIC, (II) 41-0834920, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $1,905,933 LINE 12, COLUMN (I) PARK NICOLLET HEALTH SERVICES, (II) 36-3465840, (III) 509(A)(2), (IV) YES, (V) $0, (VI) $0 PARK NICOLLET HEALTH SERVICES, WHICH IS A 509(A)(2) PUBLIC CHARITY, IS THE IDENTIFIED SUPPORTED ORGANIZATION IN PNMC HOLDINGS' ARTICLES OF INCORPORATION, IS ALSO THE PARENT OF PNMC HOLDINGS AND OF PARK NICOLLET CLINIC, AMONG OTHERS. PARK NICOLLET CLINIC IS CLOSELY RELATED IN PURPOSE AND FUNCTION TO PNMC HOLDINGS AND PARK NICOLLET HEALTH SERVICES. FURTHER, THE SAME PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES ALSO SERVE AS THE BOARD OF DIRECTORS OF PNMC HOLDINGS, AND OF PARK NICOLLET CLINIC. AS A RESULT, IT IS WITHIN THE MISSION AND PURPOSE OF PNMC HOLDINGS AND OF ITS SUPPORTED ORGANIZATION PARK NICOLLET HEALTH SERVICES TO PROVIDE SUPPORT TO PARK NICOLLET CLINIC. PNMC HOLDINGS IS NOT REQUIRED TO SPECIFICALLY IDENTIFY PARK NICOLLET CLINIC IN PNMC HOLDINGS' ARTICLES OF ORGANIZATION IN ORDER ALSO TO INCLUDE PARK NICOLLET CLINIC AS PNMC HOLDINGS' SUPPORTED ORGANIZATION. PARK NICOLLET HEALTH CARE PRODUCTS: LINE 12, COLUMN (I) PARK NICOLLET METHODIST HOSPITAL, (II) 41-0132080, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $74,493,832 LINE 12, COLUMN (I) PARK NICOLLET CLINIC, (II) 41-0834920, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $3,862,081.99 LINE 12, COLUMN (I) PARK NICOLLET HEALTH SERVICES, (II) 36-3465840, (III) 509(A)(2)(IV) YES, (V) $0, (VI) $0 PARK NICOLLET HEALTH SERVICES, WHICH IS A 509(A)(2) PUBLIC CHARITY, IS THE IDENTIFIED SUPPORTED ORGANIZATION IN PARK NICOLLET HEALTH CARE PRODUCTS' ARTICLES OF INCORPORATION, IS ALSO THE PARENT OF PARK NICOLLET HEALTH CARE PRODUCTS AND OF PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL, AMONG OTHERS. PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL ARE CLOSELY RELATED IN PURPOSE AND FUNCTION TO PARK NICOLLET HEALTH CARE PRODUCTS AND PARK NICOLLET HEALTH SERVICES. FURTHER, THE SAME PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES ALSO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH CARE PRODUCTS, OF PARK NICOLLET CLINIC AND OF PARK NICOLLET METHODIST HOSPITAL. AS A RESULT, IT IS WITHIN THE MISSION AND PURPOSE OF PARK NICOLLET HEALTH CARE PRODUCTS AND OF ITS SUPPORTED ORGANIZATION PARK NICOLLET HEALTH SERVICES TO PROVIDE SUPPORT TO PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL. PARK NICOLLET HEALTH CARE PRODUCTS IS NOT REQUIRED TO SPECIFICALLY IDENTIFY PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL IN PARK NICOLLET HEALTH CARE PRODUCTS' ARTICLES OF ORGANIZATION IN ORDER ALSO TO INCLUDE PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL AS PARK NICOLLET HEALTH CARE PRODUCTS SUPPORTED ORGANIZATIONS. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $76,471 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $76,471 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PARK NICOLLET REIMBURSES GROUP HEALTH PLAN INC. A RELATED ORGANIZATION FOR LOBBYING ACTIVITIES. PARK NICOLLET ALSO REIMBURSES CERTAIN PROFESSIONAL MEMBERSHIP DUES OF EMPLOYEES. A PORTION OF SUCH MEMBERSHIP DUES ARE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $38,225,552 | BeginningYearBalanceAmt |
| Contributions | $15,200,835 | ContributionsAmt |
| Investment Earnings Or Losses | $2,519,420 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $6,073,856 | GrantsOrScholarshipsAmt |
| End Year Balance | $49,871,951 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,964,574 | BeginningYearBalanceAmt |
| Contributions | $4,218,839 | ContributionsAmt |
| Investment Earnings Or Losses | -$457,678 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,499,817 | GrantsOrScholarshipsAmt |
| End Year Balance | $38,225,552 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,153,525 | BeginningYearBalanceAmt |
| Contributions | $4,637,534 | ContributionsAmt |
| Investment Earnings Or Losses | $1,952,529 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,779,014 | GrantsOrScholarshipsAmt |
| End Year Balance | $31,964,574 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,326,063 | BeginningYearBalanceAmt |
| Contributions | $6,201,514 | ContributionsAmt |
| Investment Earnings Or Losses | $804,937 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,178,989 | GrantsOrScholarshipsAmt |
| End Year Balance | $31,153,525 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,215,939 | BeginningYearBalanceAmt |
| Contributions | $3,506,786 | ContributionsAmt |
| Investment Earnings Or Losses | $239,474 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $4,636,136 | GrantsOrScholarshipsAmt |
| End Year Balance | $26,326,063 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.38000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.62000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,194,054 | OtherCostOrOtherBasisAmt |
| Book Value | $43,194,054 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $712,799,380 | OtherCostOrOtherBasisAmt |
| Depreciation | $413,002,026 | DepreciationAmt |
| Book Value | $299,797,354 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,016,936 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,681,760 | DepreciationAmt |
| Book Value | $30,335,176 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $382,523,432 | OtherCostOrOtherBasisAmt |
| Depreciation | $309,234,563 | DepreciationAmt |
| Book Value | $73,288,869 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $190,534,540 | OtherCostOrOtherBasisAmt |
| Depreciation | $145,919,208 | DepreciationAmt |
| Book Value | $44,615,332 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $491,230,785 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLE | $103,780,848 |
| RIGHT OF USE ASSET | $28,580,111 |
| OTHER ASSSETS | $32,330,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $164,690,966 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE OBILGATION | $26,407,327 |
| SUBORDINATE NOTE TO RELATED THIRD PARTY | $60,155,000 |
| MISCELLANEOUS LIABILITY | $6,020,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $92,582,369 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE TERM ENDOWMENT FUNDS FOR USE WITHIN PARK NICOLLET CLINIC, AND PARK NICOLLET METHODIST HOSPITAL ARE FOR GRANTS RELATED TO EDUCATION, RESEARCH AND PATIENT CARE. |
| PART X, LINE 2: | PARK NICOLLET'S ACCOUNTING POLICY PROVIDES THAT A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. PARK NICOLLET RECORDED NO LIABILITIES AT DECEMBER 31, 2019 OR 2018 FOR UNRECOGNIZED TAX BENEFITS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 275.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 385.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,312,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $120,883 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,191,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $190,225,181 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,511,078 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,714,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $199,537,762 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,631,961 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $77,905,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04710 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,774,593 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,186 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,772,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,400,377 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,925,614 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,474,763 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,174,970 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,927,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,247,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $211,712,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $124,559,761 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $87,152,971 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05270 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,727,951 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $145,671,188 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $156,876,522 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,205,334 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK NICOLLET METHODIST HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 EXCELSIOR BLVD | AddressLine1Txt |
| City | ST LOUIS PARK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | PARKNICOLLET.COM | WebsiteAddressTxt |
| State License | 385120 | StateLicenseNum |
Subordinate Hospital Name SubordinateHospitalName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PN METHODIST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subordinate Hospital EIN | 410132080 | SubordinateHospitalEIN |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK NICOLLET METHODIST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.HEALTHPARTNERS.COM/CONTENT/DAM/BRAND-IDENTITY/PDFS/CARE/2018-CO | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.PARKNICOLLET.COM/COMMUNITYANDVOLUNTEERISM/COMMUNITY-NEEDS-HEALTH | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 275.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 385.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANC | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 5: BETWEEN 2016 AND 2018, HEALTHPARTNERS AND PARK NICOLLET HEALTH SERVICES, INCLUDING PARK NICOLLET METHODIST HOSPITAL, ENGAGED WITH LOCAL PUBLIC HEALTH PARTNERS IN DAKOTA, HENNEPIN AND SCOTT COUNTIES, AS WELL AS LOCAL COALITIONS, THE CENTER FOR COMMUNITY HEALTH (CCH) AND COMMUNITY PARTNERS TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IDENTIFIES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS WELL AS MEASURES AND RESOURCES TO ADDRESS THOSE NEEDS. THE RESULTS WILL ENABLE METHODIST HOSPITAL IN COLLABORATION WITH ITS COMMUNITY PARTNERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS AND DIRECT RESOURCES TO IMPROVE THE HEALTH OF PEOPLE LIVING IN THE COMMUNITY.IN 2018, HEALTHPARTNERS AND PARK NICOLLET HEALTH SERVICES CONTRACTED WITH THE IMPROVE GROUP TO ANALYZE AND REPORT ON DATA DESCRIBING THE COMMUNITY WE SERVE. BECAUSE THE WORK OF METHODIST HOSPITAL IS SO INTEGRATED WITH THE WORK OF THE SYSTEM AS A WHOLE, PARK NICOLLET HEALTH SERVICES HAS ELECTED TO LOOK AT THE HEALTH NEEDS OF ITS SYSTEM SERVICE AREA. HEALTHPARTNERS PROVIDED THE IMPROVE GROUP WITH THE DEFINITIONS OF THE SERVICE AREA, THE INDICATORS TO STUDY FOR THE HEALTH AND DEMOGRAPHIC DATA SUMMARIES AND DATA COLLECTED DURING COMMUNITY CONVERSATIONS. COMMUNITY INPUT WAS COLLECTED IN PARTNERSHIP WITH HEALTHPARTNERS THROUGH COMMUNITY CONVERSATIONS AND MULTIPLE SURVEYS. THE IMPROVE GROUP THEN GATHERED SECONDARY DATA FROM PUBLIC SOURCES, ANALYZED COMMUNITY INPUT DATA AND DEVELOPED SUMMARY REPORTS TO GUIDE A PRIORITIZATION PROCESS.THE HEALTHPARTNERS CHNA TEAM INCLUDED REPRESENTATIVES FROM EACH HEALTHPARTNERS HOSPITAL AND HEALTHPARTNERS LEADERSHIP. IN SEPTEMBER 2018, THE CHNA TEAM MET TO REVIEW THE DATA AND PRIORITIZE THE COMMUNITY HEALTH NEEDS ACROSS THE SYSTEM. HEALTHPARTNERS COLLECTIVELY PRIORITIZED COMMUNITY HEALTH NEEDS USING A PROCESS INFORMED BY THE HANLON METHOD AND OTHER COMMONLY USED PRIORITIZATION METHODS. EACH HOSPITAL SHARED ITS 4 OR 5 PRIORITY TOPIC AREAS AND RATIONALE FOR EACH TOPIC AREA BASED ON: SIZE, SERIOUSNESS, EQUITY, VALUE AND CHANGE. HEALTHPARTNERS CHNA TEAM WORKED IN A THOROUGH, FACILITATED LARGE AND SMALL GROUP PROCESS TO REACH CONSENSUS ON TOP PRIORITIES USING BOTH THE CRITERIA DESCRIBED ABOVE AND COMMUNITY INPUT DATA. |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2018 HEALTHPARTNERS CHNA WERE:- AMERY REGIONAL MEDICAL CENTER, AMERY, WI- HUDSON HOSPITAL, INC., HUDSON, WI- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, STILLWATER, MN- REGIONS HOSPITAL, ST. PAUL, MN- WESTFIELDS HOSPITAL, INC. NEW RICHMOND, WIPARK NICOLLET METHODIST HOSPITAL:PART V, SECTION B, LINE 6B: PARK NICOLLET FOUNDATION AND PARK NICOLLET CLINICPARK NICOLLET METHODIST HOSPITAL: |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 6B: PARK NICOLLET FOUNDATION AND PARK NICOLLET CLINIC |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 7D: PARK NICOLLET METHODIST HOSPITAL'S BOARD APPROVED THE IMPLEMENTATION STRATEGY FOR PARK NICOLLET METHODIST HOSPITAL IN FALL 2018. A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY IS POSTED ON THE HEALTHPARTNERS WEBSITE ATHTTPS://WWW.HEALTHPARTNERS.COM/CONTENT/DAM/HOT/BRAND-IDENTITY/PDFS/CARE/2018-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-IMPLEMENTATION-PLAN.PDF |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 11: THE 2018 HEALTHPARTNERS CHNA PROCESS IDENTIFIED THE FOLLOWING SYSTEM-WIDE PRIORITIES, WHICH PARK NICOLLET METHODIST HOSPITAL THEN CUSTOMIZED THROUGH ITS OWN IMPLEMENTATION PLAN: COMPLETED ACTIONS IN 2019 ARE LISTED AFTER EACH PRIORITY.PRIORITY 1: ACCESS TO CARE PARK NICOLLET GENDER SERVICES CREATED THE GENDER SERVICES CARE NAVIGATOR (CARE COORDINATOR) ROLE, WHICH SERVED OVER 350 GENDER DIVERSE PATIENTS ACROSS PARK NICOLLET IN JUST THE FIRST YEAR. PROVIDED PSYCHIATRY TELE-MEDICINE VISITS AT OUR MELROSE WOODBURY SITE. INCREASED ACCESS TO MELROSE PSYCHIATRY AND SERVE MORE PATIENTS ON THE EAST SIDE OF THE METRO AND WESTERN WISCONSIN. EXPANDED OUR MELROSE BURNSVILLE LOCATION. INCREASE PROVIDER CAPACITY BY 50% TO ADD ADDITIONAL ACCESS FOR PATIENTS IN THE SOUTHERN REGION OF MINNESOTA. PNC OUTPATIENT BH IMPLEMENTED EXTENDED EVENING HOURS AT THE ST. LOUIS PARK LOCATION IN OCTOBER 2019. DEVELOPED PATIENT EDUCATION HANDOUT THAT PROVIDES PATENT WITH INFORMATION ON HOW TO ACCESS DIABETES EDUCATION SERVICES. THE MAMMO A GO GO CONTINUES TO BE OPERATIONAL AND A SECOND TRUCK WAS ADDED IN EARLY Q2 OF 2019 TO EXPAND SERVICE. WE SAW A 63% INCREASE IN THE NUMBER OF WOMEN SCREENED AT COMMUNITY EVENTS IN 2019 WITH THE ADDITION OF THE SECOND UNIT. PRIMARY CARE EXPANDED HOURS AT ALL LOCATIONS INCLUDING SATURDAYS. SOCIAL WORK SERVICES ARE AVAILABLE EVERY WEEK TO CONNECT PATIENTS AND THEIR CAREGIVERS TO RESOURCES. PRIORITY 2: ACCESS TO HEALTH REVIEWED GRANT APPLICATION AND APPLICATION PROCESS FOR EQUITY AND INCLUSION LANGUAGE AND INCLUSIVENESS. GREEN TEAM MEMBERS WERE PRESENT AT THREE COMMUNITY EVENTS IN 2019: BREATHE CLEAN SLP, PARKTACULAR AND HELPED DEVELOP THE CITY'S CLIMATE ACTION PLAN. OUR COMMUNITY MEDICINE TAKE BACK PROGRAM COLLECTED OVER 8,800 LBS OF MEDICATIONS FOR PROPER DISPOSAL WE DIVERTED >760 TONS OF WASTE FROM THE LANDFILL, INCLUDING >20 TONS OF ORGANIC WASTES AND >740 TONS OF RECYCLING. WE HAVE FOUR ELECTRIC VEHICLES IN OUR FLEET OUR SOLAR COMMITMENTS GENERATED >1.5 MILLION KWH WORTH OF RENEWABLE ENERGY ONTO THE GRID, THE EQUIVALENT OF ABOUT 137 HOUSE WORTH OF ELECTRICITY FOR A WHOLE YEAR. OUR ENERGY CONSERVATION INITIATIVES SAVED ALMOST 700,000 KWH OF ELECTRICITY AND SAVED THE ORGANIZATION >$56,000 GRANT TO PORTICO HEALTHNET TO ASSIST WITH HEALTH INSURANCE NAVIGATION IN OUR SBHC COMMUNITIES OF RICHFIELD AND BROOKLYN CENTER. GRANT TO CHILDREN'S DENTAL SERVICES TO PROVIDE DENTAL CARE IN THESE HIGH NEED AREAS AS WELLPRIORITY 3: MENTAL HEALTH AND WELLBEING BE WELL MENTAL HEALTH MODULES INCLUDED IN GENERAL INCENTIVE PROGRAMS. FOUNDATION AND COMMUNITY STAFF SERVE ON CCH CACI COMMITTEE TO PROMOTE AND BROADEN MAKE IT OK BEATING THE BLUES INFORMATION GIVEN OUT TO PATIENTS AND OFFERED FOR EMPLOYEES ON MYHEALTH. PROVIDED SEVERAL INTERNAL AND EXTERNAL EATING DISORDER CLINICS. STAFF SERVE ON THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION COMMITTEE, CONDUCTED ANALYSIS OF MENTAL HEALTH CONTINUUM OF SERVICES FOR PARK NICOLLET PROGRAMS. ASSISTED WITH DAKOTA COUNTY MENTAL HEALTH SUMMIT, OCTOBER 2019. 500+ PROVIDERS, LAW ENFORCEMENT AND PUBLIC HEALTH STAFF ATTENDED TO BEST PROVIDE SERVICES THROUGHOUT THE COUNTY. ACTED AS FISCAL AGENT FOR COLLABORATIVE. PNC OUTPATIENT BH CONTINUED TO SERVE JUNIOR HIGH AND HIGH SCHOOL AGED INDIVIDUALS IN THE ST. LOUIS PARK, BURNSVILLE, AND RICHFIELD SCHOOL DISTRICTS VIA TELEVIDEO VISITS DELIVERED WHILE THE STUDENTS REMAINED IN THEIR HOME SCHOOL SETTING. THESE SERVICES WERE SUPPORTED BY A GRANT FROM THE PARK NICOLLET FOUNDATION AND ARE FREE OF CHARGE TO THE STUDENTS/FAMILIES WE SERVED. PARTNERED WITH COMMUNITY MEMBER/PATIENT FAMILY FOR EATING DISORDERS FUNDRAISER - ARCHERS AIM PARTNER WITH DAKOTA COUNTY HEALTHY COMMUNITIES COLLABORATIVE - PARTICIPATED IN DAKOTA COUNTY MENTAL HEALTH SUMMIT IN OCTOBER PRESENTED EATING DISORDER INFORMATION AND EATING DISORDER TOOLKIT TO DAKOTA COUNTY SAFE AND DRUG FREE SCHOOL COMMITTEE" PARTNER WITH LOCAL MIDDLE AND HIGH SCHOOLS - DISTRIBUTED EATING DISORDER SCHOOL TOOLKITS TO 200+ SCHOOL COUNSELORS AND NURSES AND PROVIDED EATING DISORDER EDUCATION SESSIONS PARTNER WITH SUBSTANCE USE DISORDER TREATMENT FACILITIES - DEVELOPED "EATING FOR RECOVERY" VIDEO TO HELP CLIENTS LEARN ABOUT NUTRITION IN RECOVERY AND THE SIGNS AND SYMPTOMS OF AN EATING DISORDER FUNDED BY THE FOUNDATION PARTNER WITH NAMI - MENTAL HEALTH AWARENESS DAY AT THE STATE FAIR AND NAMI SUPER SATURDAYS PARTNER WITH MN RECOVERY CONNECTION - SPONSORED FROM "STATISTICS TO SOLUTION'S CONFERENCE FOR SUBSTANCE USE DISORDERS INTEGRATED THERAPISTS WITHIN PRIMARY CARE CLINICS BEGAN OFFERING MORE "CURBSIDE AND URGENT ACCESS TO THEIR PRIMARY CARE COLLEAGUES IN 2019. SIGNIFICANT IMPROVEMENTS WERE MADE IN THE DELIVERY OF TIME SENSITIVE CLINICAL DOCUMENTATION TO PARENTS, SCHOOLS, AND OTHER MENTAL HEALTH PROFESSIONALS IN 2019. THIS RESULTED IN THE MOST URGENT DOCUMENTS BEING SENT OUT BY HIM MOST OFTEN IN LESS THAN 5 DAYS AND FREQUENTLY WITHIN 48 HOURS.PRIORITY 4: SUBSTANCE ABUSE IN 2019, 1,252 FEWER PARK NICOLLET PATIENTS WERE USING OPIOIDS CHRONICALLY. A 14.3% DECREASE FROM 2018. ADDITIONALLY, 986 FEWER PARK NICOLLET PATIENTS WERE DUALLY PRESCRIBED AN OPIOID AND A BENZODIAZEPINE, A 15.4% REDUCTION FROM 2018. AN ADDICTION MEDICINE SPECIALIST WAS HIRED AND BEGAN PROVIDING SERVICES AT THE PAIN CLINIC IN 2019. ADDITIONAL ALERTS AND CHANGES WERE MADE TO THE ELECTRONIC MEDICAL RECORD TO GUIDE EVIDENCE-BASED OPIOID PRESCRIBING. 644,192 FEWER PILLS WERE PRESCRIBED IN 2019 FROM 2018, A 17.3% DECREASE MORE THAN OF PARK NICOLLET SAME DAY SURGERY DISCHARGES ARE NOT PRESCRIBED AN OPIOID POST OPERATIVELY. WHEN PRESCRIBED, THE AVERAGE MORPHINE MILLIGRAM EQUIVALENT PER PRESCRIPTION IS 96, WHICH IS ON AVERAGE A 3-4 DAY SUPPLY. OUTPATIENT SERVICES ESTABLISHED IN PAIN CLINIC IN 2019 TO INCLUDE ADDICTION MEDICINE AND MENTAL HEALTH THERAPY. SERVICES AVAILABLE TO A BROAD BASE OF PATIENTS. THE HEALTHY POSSIBILITIES PROGRAM, EMBEDDED IN THE PAIN CLINIC AND INCLUDING MEDICATION ASSISTED TREATMENT AND MENTAL HEALTH THERAPY, WAS ESTABLISHED TO MEET THE NEEDS OF THOSE WITH SIGNIFICANT SUBSTANCE USE AND CO-OCCURRING MENTAL HEALTH PROBLEMS. CONTENT HAS BEEN STANDARDIZED ACROSS THE ORGANIZATION ABOUT USE OF NON-OPIOID TREATMENTS FOR PAIN AND THE DANGERS OF OPIOIDS. CONTENT INCLUDES: AFTER VISIT SUMMARIES INPATIENT AND AMBULATORY PAIN VIDEOS PROMOTIONAL BROCHURE "6 THINGS TO KNOW ABOUT PAIN AND OPIOIDS" BLOGS, ARTICLES AND INTERVIEWS AVAILABLE TO THE PUBLIC AND STORED ON WWW.HEALTHPARTNERS.COM/PAINPRIORITY 5: NUTRITION AND PHYSICAL ACTIVITY STEP TO INSPIRE ANNUAL 5K RUN, WALK AND ROLL WAS HELD AT WOLFE PARK. TAI CHI WAS OFFERED EVERY TUESDAY FOR 8-WEEKS. YUM POWER PACKETS GIVEN OUT AT WELL CHILD VISITS. $15,000 STEP GRANT FOR ST LOUIS PARK EMERGENCY PROGRAM. PROVIDED HEALTHY FOOD AND HEALTH MENTORSHIP TO NEARLY 100 SENIORS BRENDA DEMARCO, A DIETIIAN, SPOKE ON NUTRITION AT THE 11/5/2019 COFFEE TALK GROUP. THE SUGAR SWEETENED BEVERAGES IN VENDING WAS ELIMINATED IN METHODIST HOSPITAL. WE BROUGHT IN MORE VARIETY OF LOW CALORIE OR NO CALORIE OPTIONS. CONNECTED BROOKDALE AND HP BROOKLYN CENTER CLINIC STAFF TO CEAP TO PROVIDE RESOURCES FOR PEOPLE EXHIBITING FOOD INSECURITY. A DIETICIAN HAS BEEN ADDED TO THE CANCER CENTER TO ENSURE EASE OF ACCESS. CREATED A CONSULTATIVE PACKAGE FOR CANCER PATIENTS TO SUPPORT PROPER NUTRITION DURING CANCER TREATMENT. DIETICIAN HAS BEEN PART OF THE CANCER CARE TEAM.A FULL REPORT OF PARK NICOLLET METHODIST'S 2018 CHNA AND IMPLEMENTATION PLAN IS POSTED ON THE HEALTHPARTNERS WEBSITE AT HTTPS://WWW.HEALTHPARTNERS.COM/CONTENT/DAM/HOT/BRAND-IDENTITY/PDFS/CARE/2019-2021-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-IMPLEMENTATION-PLAN.PDF, WHICH PROVIDES A DETAILED DESCRIPTION OF ALL THE ACTIVITIES. |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 13B: IN ACCORDANCE WITH OUR AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYER. THE DISCOUNT FOR 2018 WAS 36.8% OF GROSS CHARGES. PATIENTS WHO RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL. |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 24: PARK NICOLLET CHARGES ITS PATIENTS GROSS CHARGES IF THE PATIENT HAS ELECTIVE SURGERY, WHICH IS NOT MEDICALLY NECESSARY. |
| PART V, SECTION B, LINE 3E | PARK NICOLLET ADDRESSES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY THROUGH OUR CHNA. |
| PART V SECTION C LINE 20 | PARK NICOLLET DOES NOT PERFORM ANY ECAS (EXTRAORDINARY COLLECTION ACTIONS), THEREFORE WE WOULD NOT GIVE A PATIENT A WRITTEN NOTICE OF DOING SO. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 41 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (41 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - STRUTHER'S PARKINSON CENTER | ||||
| 6701 COUNTRY S PARKINSON CENTER | GOLDEN VALLEY | MN | 55427 | RESEARCH AND TREATMENT OF PARKINSON'S DISEASE |
| 1 - PARK NICOLLET MELROSE CENTER | ||||
| 3525 MONTEREY DRIVE | ST LOUIS PARK | MN | 55416 | EATING DISORDER CLINIC/GENERAL MEDICAL |
| 1 - 3900 CLINICAMBULATORY SURGICAL CENTER | ||||
| 3900 PARK NICOLLET BOULEVARD | ST LOUIS PARK | MN | 55416 | AMBULATORY SURGICAL CENTER AND GENERAL MEDICAL AND RETAIL |
| 1 - MEADOWBROOK MEDICAL BUILDING | ||||
| 3931 LOUISIANA AVE S | ST LOUIS PARK | MN | 55426 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - PRAIRIE CENTER | ||||
| 8455 FLYING CLOUD DRIVE | EDEN PRAIRIE | MN | 55344 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - BLOOMINGTON CLINIC | ||||
| 5320 HYLAND GREENS DRIVE | BLOOMINGTON | MN | 55437 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - BROOKDALE CLINIC | ||||
| 6000 EARLE BROWN DRIVE | BROOKLYN CENTER | MN | 55430 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - BURNSVILLE CLINIC | ||||
| 14000 FAIRVIEW DRIVE | BURNSVILLE | MN | 55337 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - CARLSON PARKWAY CLINIC | ||||
| 15111 TWELVE OAKS CENTER DRIVE | MINNETONKA | MN | 55305 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - CHANHASSEN CLINIC | ||||
| 300 LAKE DRIVE E | CHANHASSEN | MN | 55317 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - CREEKSIDE | ||||
| 6600 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | PHYSICAN OFFICES, AND ANCILLARY MEDICAL SERVICES |
| 1 - ST LOUIS PARK IMAGING CENTER | ||||
| 4951 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55416 | IMAGING CENTER/OPTICAL RETAIL |
| 1 - EAGAN CLINIC | ||||
| 1885 PLAZA DRIVE | EAGAN | MN | 55122 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - GOLDEN VALLEY CLINIC | ||||
| 8240 GOLDEN VALLEY DRIVE | GOLDEN VALLEY | MN | 55427 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - LAKEVILLE CLNIC | ||||
| 18432 KENRICK AVE | LAKEVILLE | MN | 55044 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - MAPLE GROVE SURGERY CENTER | ||||
| 15800 95TH AVE N | MAPLE GROVE | MN | 55369 | AMBULATORY SURGICAL CENTER |
| 1 - MAPLE GROVE OB | ||||
| 9855 HOSPITAL DRIVE SUITE 275 | MAPLE GROVE | MN | 55369 | OB SERVICES |
| 1 - MAPLE GROVE REHAB | ||||
| 15301 GROVE CIRCLE | MAPLE GROVE | MN | 55369 | REHABILIATION SERVICES |
| 1 - MINNEAPOLIS CLINIC | ||||
| 2001 BLAISDELL AVE S | MINNEAPOLIS | MN | 55404 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - MINNETONKA - SHOREWOOD CLINIC | ||||
| 19685 HIGHWAY 7 | SHOREWOOD | MN | 55331 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - PLYMOUTH CLINIC | ||||
| 4155 COUNTY ROAD 101 | PLYMOUTH | MN | 55446 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - PRIOR LAKE CLINIC | ||||
| 4670 PARK NICOLLET AVE SE | PRIOR LAKE | MN | 55372 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - SHAKOPEE CLINIC | ||||
| 1415 ST FRANCIS AVE | SHAKOPEE | MN | 55379 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - SHAKOPEE MOB PN SPECIALITY SUITE | ||||
| 1515 ST FRANCIS AVE | SHAKOPEE | MN | 55379 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - SHAKOPEE MOB ORTHO NEURO CENTER | ||||
| 1601 ST FRANCIS AVE | SHAKOPEE | MN | 55379 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - ST LOUIS PARK CLINIC | ||||
| 3800 PARK NICOLLET BLVD | ST LOUIS PARK | MN | 55416 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - ST LOUIS PARK CLINIC | ||||
| 3850 PARK NICOLLET BLVD | ST LOUIS PARK | MN | 55416 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - WAYZATA MEDICAL BUILDING | ||||
| 250 CENTRAL AVE N | WAYZATA | MN | 55391 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 1 - ROGERS CLINIC | ||||
| 13688 ROGERS DRIVE | ROGERS | MN | 55374 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 1 - CHAMPLIN CLINIC | ||||
| 12142 BUSINESS PARK BLVD N | CHAMPLIN | MN | 55316 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 31 - BURNSVILLE PEDIATRIC REHAB SERVICES | ||||
| RIDGEPOINT MEDICAL BUILDING | BURNSVILLE | MN | 55337 | PEDIATRIC REHAB SERVICES |
| 32 - BURNSVILLE BEHAVIORAL HEALTH | ||||
| 675 NICOLLET BLVD E | BURNSVILLE | MN | 55337 | BEHAVIORAL HEALTH SERVICES |
| 33 - MELROSE CENTER ST PAUL | ||||
| 2550 UNIVERSITY AVE W | ST PAUL | MN | 55114 | EATING DISORDER CLINIC/GENERAL MEDICAL |
| 34 - MELROSE CENTER MAPLE GROVE | ||||
| 9600 UPLAND LANE N SUITE 110 | MAPLE GROVE | MN | 55369 | EATING DISORDER CLINIC/GENERAL MEDICAL |
| 35 - MAPLE GROVE REGIONAL SPECIALITY CENTER | ||||
| 9555 UPLAND LANE N | MAPLE GROVE | MN | 55369 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 36 - AIRPORT PROFESSIONAL BUILDING | ||||
| 7550 34TH AVE SOUTH | MINNEAPOLIS | MN | 55450 | NURSE CALL CENTER, AND DERMATOLOGY |
| 37 - BURNSVILLE RIDGES SPECIALITY CENTER | ||||
| 14101 FAIRVIEW DRIVE STE 420 | BURNSVILLE | MN | 55337 | OB SERVICES |
| 38 - SHAKOPEE RETAIL CENTER | ||||
| 1455 ST FRANCIS AVE | SHAKOPEE | MN | 55379 | MEDICAL RETAIL |
| 39 - BURNSVILLE REHAB | ||||
| 14451 GRAND AVE S | BURNSVILLE | MN | 55306 | REHABILIATION SERVICES |
| 40 - 5400 SPECIALTY BUILDING | ||||
| 5400 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55416 | PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 42 - BURNSVILLE MELROSE | ||||
| 675 NICOLLET BLVD E | BURNSVILLE | MN | 55337 | EATING DISORDER CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ACCORDANCE WITH OUR AGREEMENT WITH THE MN ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYER. THIS DISCOUNT FOR 2019 WAS 36.8% OF GROSS CHARGES. PATIENTS WHOSE RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL. |
| PART I, LINE 7: | PARK NICOLLET METHODIST HOSPITAL USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS. |
| PART III, LINE 2: | BAD DEBT IS ACCOUNTED FOR ON THE FINANCIAL STATEMENTS BY ESTIMATING PATIENT LIABILITY NET OF ANY CHARITY CARE AND THEN CALCULATING WHAT PORTION OF THAT WILL NOT BE COLLECTED BASED HISTORICAL UNCOLLECTABLE RATES. WHEN A PATIENT MEETS OUR FINANCIAL REQUIREMENTS IT IS CLASSIFIED AS CHARITY CARE; IF THEY DO NOT QUALIFY, THEIR SERVICES WILL BE WRITTEN OFF AS BAD DEBT. PARK NICOLLET METHODIST HOSPITAL DOES NOT INCLUDE ANY CHARITY CARE IN THEIR BAD DEBT EXPENSE CALCULATION. |
| PART III, LINE 3: | PARK NICOLLET METHODIST HOSPITAL AND ITS AFFILIATES WORK WITH THOSE QUALIFYING FOR CHARITY CARE ALONG EVERY STEP OF THE PROCESS, INCLUDING ACCEPTING APPLICATIONS FOR FINANCIAL ASSISTANCE AFTER PREVIOUS ATTEMPTS TO WORK WITH THE PATIENT FAIL. EVERY EFFORT IS MADE TO WORK WITH THE PATIENT TO PROVIDE FINANCIAL ASSISTANCE WHEN APPROPRIATE. WHILE THERE ARE PEOPLE WHO DO NOT COOPERATE WITH THE HOSPITAL REGARDING PAYMENT PLANS, FINANCIAL ASSISTANCE OR WITH THOSE TRYING TO HELP THEM GET ON GOVERNMENT PROGRAMS, IT IS IMPOSSIBLE TO KNOW THEIR REASON FOR NOT COOPERATING AND THEREFORE KNOW WHETHER THEY MAY HAVE QUALIFIED FOR CHARITY CARE. PARK NICOLLET DOESN'T HAVE PREDICTIVE SOFTWARE WHICH WOULD MAKE ASSUMPTIONS BASED ON HOUSING SITUATION, CREDIT REPORTS, ETC. AND RECOMMEND ASSISTANCE WITHOUT A PROCESS FOR GATHERING INCOME VERIFICATION. IN LIGHT OF THE FOREGOING FACTS, PARK NICOLLET IS UNABLE TO REASONABLY DETERMINE WHETHER ANY AMOUNT OF BAD DEBT COULD HAVE BEEN CLASSIFIED AS CHARITY CARE. |
| PART III, LINE 4: | PARK NICOLLET METHODIST HOSPITAL'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, AND ALLOWANCE OF DOUBTFUL ACCOUNTS. THE FOOTNOTE IS LOCATED ON PAGE 25 OF THE ATTACHED AUDIT REPORT. |
| PART III, LINE 8: | PARK NICOLLET HEALTH SERVICES BELIEVES THAT THE LOSS WE INCUR WHILE PROVIDING CARE TO MEDICARE BENEFICIARIES SHOULD BE CLASSIFIED AS A COMMUNITY BENEFIT. IF THESE SERVICES WERE NOT PROVIDED BY US THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. THE MEDICARE LOSS CLAIMED ON PART III, LINE 8 ONLY INCLUDES ALLOWABLE HOSPITAL COSTS THAT ARE DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AND DO NOT INCLUDE ALL OF THE COSTS THAT ARE INCURRED WHILE PROVIDING SERVICES. PARK NICOLLET CLINIC ALSO PROVIDES SERVICES TO MEDICARE BENEFICIARIES BUT THERE IS NO PLACE TO REPORT A MEDICARE LOSS FOR A FREE STANDING CLINIC ON THE FORM SET. IF ALL SYSTEM WIDE COSTS WERE INCLUDED IN THE CALCULATION ALONG WITH OUR MEDICARE ADVANTAGE PRODUCTS OUR MEDICARE LOSS WOULD BE $170.0 MILLION FOR ALL OF PARK NICOLLET HEALTH SERVICES SYSTEM WIDE. |
| PART III, LINE 9B: | THE COLLECTION POLICY INCORPORATES THE REQUIREMENTS AS STATED BY THE MINNESOTA ATTORNEY GENERAL AND VIEWS ACCOUNT RESOLUTION THROUGH THE PARK NICOLLET FINANCIAL ASSISTANCE PROGRAM AS AN OPTION FOR ACCOUNT RESOLUTION. THIS OPTION IS SHARED WITH PATIENTS VIA STATEMENTS, LETTERS AND AS PART OF COLLECTION CALLS TO AND FROM PATIENTS FROM PARK NICOLLET AND COLLECTION AGENCIES. PARK NICOLLET'S FINANCIAL ASSISTANCE PROGRAM IS ALSO DESCRIBED IN PAMPHLETS AND ON OUR WEBSITE. THE WEBSITE INCLUDES OUR FINANCIAL ASSISTANCE POLICY. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, COLLECTION EFFORTS CEASE AND CHARGES ARE CLEARED FROM THEIR ACCOUNT. |
| PART VI, LINE 2: | IN 2018, WE WERE PART OF A COMPREHENSIVE, COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") THAT INCLUDED ALL THE HOSPITALS IN THE HEALTHPARTNERS SYSTEM. THE ASSESSMENT ANALYZED HEALTH DATA AND INPUT FROM COMMUNITY MEMBERS TO IDENTIFY THE BIGGEST NEEDS. FINAL PRIORITIZED NEEDS ACCESS TO CARE ACCESS TO HEALTH MENTAL HEALTH AND WELLBEING SUBSTANCE ABUSE NUTRITION AND PHYSICAL ACTIVITYA FULL REPORT OF PARK NICOLLET METHODIST'S CHNA AND IMPLEMENTATION PLAN IS POSTED ON PARK NICOLLET'S WEBPAGE AT HTTP://WWW.PARKNICOLLET.COM/COMMUNITYANDVOLUNTEERISM/COMMUNITY-NEEDS-HEALTH-ASSESSMENTIN ADDITION TO CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, PARK NICOLLET HAS SEVERAL MEANS OF ASSESSING THE HEALTH CARE NEEDS OF THE POPULATION WE SERVE:CONVENING/PARTICIPATING IN ONGOING COMMUNITY COLLABORATIVE FOCUSED ON IDENTIFYING AND ADDRESSING COMMUNITY HEALTH CONCERNS. THESE COLLABORATIVES INCLUDE:-CENTER FOR COMMUNITY HEALTH: A UNIQUE COLLABORATIVE OF HOSPITALS, PUBLIC HEALTH AGENCIES AND HEALTH PLANS SHARING THE FINDINGS AND DATA FROM THEIR CHNAS.-WEST METRO CHNA COLLABORATIVE-DAKOTA COUNTY HEALTHY COMMUNITIES COLLABORATIVE-HMONG COMMUNITY STROKE EDUCATION AND AWARENESS INITIATIVE-MINNESOTA DEPARTMENT OF HEALTH HEALTHY MINNESOTA PARTNERSHIP-MINNESOTA DEPARTMENT OF HEALTH MENTAL WELL-BEING & RESILIENCE LEARNING COMMUNITY-COMMUNITY HEALTH ACTION TEAM (CHAT)-CATHOLIC CHARITIES HIGHER GROUND STEERING COMMITTEE-RACIAL EQUITY ACTION SUPPORT NETWORK (REASN)-HEALTHCARE FOR THE HOMELESS-SCOTT COUNTY HEALTH SYSTEM COLLABORATIVE-NORTHWEST HENNEPIN HEALTHY COMMUNITY PARTNERSHIP-DAKOTA COUNTY SCHOOL MENTAL HEALTH PRACTICE GROUP-CENTRAL CLINIC ADVISORY COMMITTEE-SHIP COMMUNITY LEADERSHIP TEAMPARK NICOLLET FOUNDATION ANNUALLY SOLICITS GRANT APPLICATIONS FROM COMMUNITY NON-PROFITS. A KEY COMPONENT OF THE APPLICATION PROCESS ASKS APPLICANTS TO IDENTIFY AND QUANTIFY THE HEALTH CARE-RELATED NEEDS THEY ARE SEEKING TO ADDRESS. REVIEW OF THESE APPLICATIONS YEAR-OVER-YEAR PROVIDES A GOOD PICTURE OF COMMUNITY NEEDS AND HOW THEY EVOLVE OVER TIME. |
| PART VI, LINE 3: | WE INFORM OUR PATIENTS IN MULTIPLE WAYS ABOUT OUR FA PROGRAM AND OTHER FINANCIAL ASSISTANCE OPTIONS FOR SERVICES RECEIVED AT PNHS. A LIST OF COMMUNICATIONS FOR PATIENTS RELATING TO FINANCIAL ASSISTANCE FOLLOWS: PATIENTS AT THE HOSPITAL ARE OFFERED OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY AT THE TIME OF CHECK-IN.HOSPITAL BOOKLETS OR INFORMATION PACKETS GIVEN TO EMERGENCY CENTER PATIENTS AND INPATIENTS.WEB SITE HAS FA INFORMATION FOUND UNDER PATIENT ACCOUNTS AND BILLING. OUR FINANCIAL ASSISTANCE APPLICATION OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY (PLS) OUR FINANCIAL ASSISTANCE POLICYALL BALANCE FORWARD STATEMENTS, WITH A BALANCE OF $200 OR GREATER AND NOT ALREADY ON A PAYMENT PLAN, INCLUDE AN FA APPLICATION AND INSTRUCTION TO COMPLETE THE APPLICATION ALONG WITH ANSWERS TO FREQUENTLY ASKED QUESTIONS ABOUT THE FA PROGRAM.IN ADDITION TO THE WRITTEN MATERIAL, CUSTOMER SERVICE, COLLECTIONS, FINANCIAL COUNSELORS AND ACCOUNT SPECIALISTS INFORM PATIENTS ABOUT ASSISTANCE OPTIONS, INCLUDING GOVERNMENT PROGRAMS AND FA. MOST CUSTOMER SERVICE AND COLLECTION WORK IS DONE OVER THE PHONE, THOUGH MANY OF OUR CLINICS AND THE HOSPITAL HAVE STAFF ON SITE TO ASSIST IN APPLYING FOR FA AND GOVERNMENT PROGRAMS. OUR THIRD PARTY COLLECTION AGENCIES ARE ALSO TRAINED TO INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. WE ALSO CONTRACT WITH OUTSIDE SERVICES TO ASSIST PATIENTS IN THE GOVERNMENT PROGRAM APPLICATION PROCESS IN MORE COMPLICATED CIRCUMSTANCES. |
| PART VI, LINE 4: | PARK NICOLLET HEALTH SERVICES IS AN INTEGRATED DELIVERY SYSTEM THAT INCLUDES PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET FOUNDATION, PARK NICOLLET HEALTH CARE PRODUCTS, HUTCHINSON HEALTH AND TRIA ORTHOPAEDIC CENTER, LLC. PARK NICOLLET HEALTH SERVICES NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION, LLC, WAS ORGANIZED AS AN LLC IN 2018, FOR WHICH PNC IS THE SOLE MEMBER. PARK NICOLLET HAS OVER 8,200 EMPLOYEES, INCLUDING MORE THAN 1,200 PHYSICIANS. PARK NICOLLET CLINIC IS ONE OF THE LARGEST MULTISPECIALTY CLINICS IN THE UNITED STATES, PROVIDING CARE IN MORE THAN 55 MEDICAL SPECIALTIES AND SUBSPECIALTIES AT MORE THAN 30 CLINICS AND OTHER CARE LOCATIONS IN METROPOLITAN AND SUBURBAN MINNEAPOLIS/ST. PAUL, MINNESOTA. METHODIST HOSPITAL IS A 426-BED HOSPITAL IN ST. LOUIS PARK, MINNESOTA, RECOGNIZED AS A LEADER IN CANCER CARE, CARDIOVASCULAR SERVICES, MATERNITY CARE AND ORTHOPAEDIC CARE.WHILE PARK NICOLLET HEALTH SERVICES SERVES PATIENTS FROM EVERYWHERE, 75 PERCENT OF OUR PATIENTS LIVE IN DAKOTA, HENNEPIN AND SCOTT COUNTIES IN MINNESOTA. PARK NICOLLET METHODIST HOSPITAL IS LOCATED IN THE CITY OF ST. LOUIS PARK IN HENNEPIN COUNTY. THESE THREE COUNTIES THAT MAKE UP OUR COMMUNITY HAVE 2.4 MILLION PEOPLE. IN 2017, NEARLY 600,000 PATIENTS LIVING IN THESE COUNTIES RECEIVED CARE FROM PARK NICOLLET HEALTH SERVICES.THE MEDIAN AGE OF OUR COMMUNITY IS BETWEEN 35 AND 38 YEARS OLD. ABOUT 1 IN 4 PEOPLE IN OUR COMMUNITY IS UNDER 18, AND 1 IN 6 PEOPLE IN OUR COMMUNITY IS OVER 65. SCOTT COUNTY HAS A HIGHER PERCENTAGE OF PEOPLE UNDER AGE 18 AND A LOWER PERCENTAGE OF PEOPLE OVER AGE 65 THAN THE OTHER COUNTIES AND THE STATE AVERAGE.PEOPLE OF COLOR ARE DISPROPORTIONATELY IMPACTED BY SOCIAL AND ENVIRONMENTAL CONDITIONS THAT AFFECT HEALTH. HENNEPIN COUNTY IS MORE RACIALLY DIVERSE THAN THE REST OF THE STATE, WITH 27 PERCENT OF HENNEPIN COUNTY RESIDENTS IDENTIFYING AS A RACE OTHER THAN WHITE. IN COMPARISON, 16 PERCENT OF PEOPLE IN DAKOTA AND SCOTT COUNTIES IDENTIFY AS A RACE OTHER THAN WHITE. BETWEEN 5 AND 7 PERCENT OF PEOPLE IN OUR COMMUNITY IDENTIFY AS HISPANIC OR LATINO.PEOPLE WHO ARE EXPERIENCING POVERTY FACE HEALTH DISPARITIES. PEOPLE WHO LIVE IN HOUSEHOLDS EARNING AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) ARE CONSIDERED LOW INCOME. IN OUR COMMUNITY, POVERTY IS MORE CONCENTRATED IN HENNEPIN COUNTY, WITH 26 PERCENT OF RESIDENTS AND 33 PERCENT OF CHILDREN LIVING IN LOW INCOME HOUSEHOLDS. WHILE RATES ARE HIGHER IN HENNEPIN COUNTY, MORE THAN 1 IN 5 PEOPLE IN THE COMMUNITY WE SERVE ARE CURRENTLY LIVING IN LOW INCOME HOUSEHOLDS. ACROSS OUR COMMUNITY, THE PERCENTAGE OF PEOPLE OF COLOR IN POVERTY IS 3 TO 4 TIMES HIGHER THAN THAT OF PEOPLE WHO IDENTIFY AS WHITE.AN INDIVIDUAL'S EDUCATION LEVEL CAN IMPACT THEIR ABILITY TO BE HEALTHY. PEOPLE WITH LESS THAN A HIGH SCHOOL EDUCATION ARE MORE LIKELY TO EXPERIENCE HEALTH DISPARITIES THAN PEOPLE WITH HIGHER EDUCATION LEVELS. HIGHER LEVELS OF EDUCATION ARE ALSO STRONGLY ASSOCIATED WITH HIGHER INCOMES. IN OUR COMMUNITY, 8 IN 10 STUDENTS GRADUATE FROM HIGH SCHOOL IN FOUR YEARS. HOWEVER, SIGNIFICANT DISPARITIES EXIST BY RACE. IN HENNEPIN COUNTY, ONLY 6 IN 10 STUDENTS WHO IDENTIFY AS BLACK OR HISPANIC GRADUATE IN FOUR YEARS. ACROSS OUR COMMUNITY, FOUR-YEAR GRADUATION RATES ARE LOWEST AMONG STUDENTS WHO IDENTIFY AS AMERICAN INDIAN; THESE RATES RANGE FROM 35 PERCENT IN HENNEPIN COUNTY TO 58 PERCENT IN SCOTT COUNTY. |
| PART VI, LINE 5: | PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSES IN MULTIPLE WAYS THROUGH METHODIST HOSPITAL, PARK NICOLLET CLINIC, SPECIALTY PROGRAMS AND ITS COMMITMENT TO RESEARCH AND EDUCATION. PARK NICOLLET STRIVES TO MEET ITS COMMITMENT TO THE TRIPLE AIM OF PROVIDING HIGH QUALITY HEALTH CARE AT AN AFFORDABLE COST TO THE COMMUNITY BY ENHANCING THE PATIENT EXPERIENCE.PARK NICOLLET'S COMMITMENT TO THE PATIENT AND FAMILY EXPERIENCE IS ARTICULATED THROUGH A FOCUS ON HEAD + HEART, TOGETHER (HHT). "HEAD" REFERS TO OUR WORK AROUND EVIDENCE-BASED MEDICINE, OUR ATTENTION TO CLINICAL OUTCOMES, THE WAY WE WILL USE DATA TO MAKE DECISIONS ABOUT THE BEST CARE PROTOCOL TO FOLLOW, AND THE BUSINESS OF RUNNING A LARGE HEALTH CARE SYSTEM."HEART" IS ALL ABOUT PROVIDING COMPASSIONATE CARE IN THE MOMENT AND KEEPING OUR PATIENTS AT THE CENTER OF EVERYTHING WE DO AND EVERY DECISION WE MAKE. WHEN WE WORK ACROSS BOUNDARIES WITH OUR PATIENTS AND FAMILIES, WE WON'T DO THINGS "TO OR "FOR" PATIENTS - WE WILL DO THINGS WITH PATIENTS AND THEIR FAMILIES."TOGETHER" MEANS DOING BOTH HEAD- AND HEART-CENTERED ACTIVITIES IN COMBINATION. IT ALSO MEANS WORKING AS A TEAM ACROSS DEPARTMENTS AND SPECIALTIES, ALL OF US UNITED AROUND CARING TOGETHER WITH OUR PATIENTS AND THEIR FAMILIES IN THE COMMUNITIES WE SERVE.PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSE THROUGH ITS 426-BED METHODIST HOSPITAL IN ST. LOUIS PARK, 25 CLINIC LOCATIONS IN ITS 96 ZIP CODE SERVICE AREA, 55 MEDICAL SPECIALTIES AND SUBSPECIALTIES, AND 12 SPECIALTY CENTERS. PARK NICOLLET FOUNDATION SERVES AS THE CONVENER OF THE COMMUNITIES WE SERVE, INVOLVING ADMINISTRATIVE AND MEDICAL STAFF IN ITS INTEGRATED SYSTEM, TO ASSESS COMMUNITY NEED AND FACILITATE A BROAD ARRAY OF CLINICAL AND SPECIALTY SERVICES AND THE ADMINISTRATIVE SUPPORT TO MEET UNMET NEEDS IN THE COMMUNITY. PARK NICOLLET FOUNDATION ALSO PROVIDES FINANCIAL ASSISTANCE TO COMMUNITY ORGANIZATIONS AND SERVICES THAT ARE CONSISTENT WITH NEEDS IDENTIFIED IN THE CHNA AS PRIORITIZED BY ITS BOARD OF DIRECTORS. PARK NICOLLET FOUNDATION'S BOARD OF DIRECTORS IS A COMMUNITY BOARD AND PROVIDES ACTIVE PARTICIPATION IN THE NONPROFIT MISSION OF THE ORGANIZATION.PARK NICOLLET'S INTEGRATED SYSTEM PROVIDES COMMUNITY BENEFIT TO UNDERSERVED POPULATIONS THROUGH CONVENING OF COMMUNITIES, EDUCATION AND SUPPORT OF PATIENTS AND COMMUNITY MEMBERS DIAGNOSED WITH CHRONIC DISEASE, AND RESEARCH TO IMPROVE QUALITY OF LIFE. HEALTH PROFESSIONALS WITHIN THE INTEGRATED SYSTEM ASSIST PATIENTS IN THE COMMUNITY, IN THE STATE, IN THE NATION, AND AROUND THE WORLD WHO NEED SPECIALIZED PROGRAMS AND SERVICES FOR VARIOUS CONDITIONS.PARK NICOLLET ALSO IS A RECOGNIZED LEADER IN PROCESS IMPROVEMENTS TO COORDINATE PATIENT CARE AND PROVIDE PATIENTS WITH SOCIAL SUPPORT SYSTEMS TO IMPROVE POPULATION HEALTH. THIS HAS BEEN ACCOMPLISHED THROUGH ITS INITIATIVES THROUGH THE PHYSICIAN GROUP PRACTICE DEMONSTRATION PROGRAM SPONSORED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PARK NICOLLET ALSO PARTICIPATES IN THE NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION PROGRAM THAT IS SPONSORED BY THE CENTER FOR MEDICARE AND MEDICAID INNOVATION. IN ADDITION TO INNOVATING AROUND CARE DELIVERY DESIGN AND PATIENT SUPPORT SERVICES, PARK NICOLLET PARTICIPATES IN MULTIPLE LEARNING INITIATIVES TO SHARE ITS KNOWLEDGE AND LESSONS LEARNED WITH OTHER ORGANIZATIONS ACROSS THE COMMUNITY AND THE COUNTRY. PARK NICOLLET HAS BEEN COMMITTED TO THESE EFFORTS IN SUPPORT OF ITS COMMITMENT TO THE TRIPLE AIM OF IMPROVING HEALTH, PATIENT EXPERIENCE AND AFFORDABILITY BY PROVIDING COMMUNITIES WITH SUPPORT SYSTEMS ASSISTING PATIENTS AND FAMILIES TO IMPROVE THEIR HEALTH.GRANTS AND COMMUNITY SUPPORT - IN 2018, PARK NICOLLET FOUNDATION GRANTED $3.2 MILLION TO PARK NICOLLET DEPARTMENTS AND COMMUNITY 501(C)(3) ORGANIZATIONS TO FUND OUTREACH SERVICES AND SUPPORT PROGRAMS ADDRESSING OUR KEY PRIORITIES FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. PARK NICOLLET SUPPORTS SCHOOL-BASED HEALTH CENTERS. IN 2018, WE OFFERED NO-CHARGE HEALTH CARE TO CHILDREN FROM INFANCY THROUGH HIGH SCHOOL GRADUATION AT OUR SCHOOL-BASED HEALTH CENTERS IN BROOKLYN CENTER, BURNSVILLE, RICHFIELD, AND ST. LOUIS PARK. NO-CHARGE AND LOW-COST DENTAL AND MENTAL HEALTH CARE IS AVAILABLE BY APPOINTMENT. PARTICIPATING FAMILIES INCLUDE THOSE WHO ARE UNABLE TO AFFORD HEALTH CARE, ARE NEW TO THE AREA OR HAVE SENSITIVE HEALTH CARE NEEDS. WALK-IN VISITORS ARE WELCOME AT ALL LOCATIONS. ALL HEALTH CENTERS ARE OPERATED IN PARTNERSHIP WITH LOCAL SCHOOL DISTRICTS AND FUNDED BY PARK NICOLLET FOUNDATION.IMMUNIZATIONS - MINNESOTA LAW REQUIRES IMMUNIZATIONS, OR WRITTEN PROOF OF EXEMPTION, FOR SCHOOL-AGE CHILDREN TO ATTEND SCHOOL. PARK NICOLLET FOUNDATION COLLABORATES WITH SCHOOL DISTRICTS TO HAVE ALL CHILDREN IMMUNIZED. PARK NICOLLET OFFERS ENHANCED ACCESS FOR CHILDREN NEEDING IMMUNIZATIONS AS PART OF THE NO SHOTS, NO SCHOOL PROGRAM, WHICH IS AVAILABLE IN MAY, AUGUST AND THE FIRST TWO WEEKS OF SEPTEMBER. WE ALSO GIVE FREE IMMUNIZATIONS YEAR-ROUND AT THE SCHOOL-BASED HEALTH RESOURCE CENTERS.PARK NICOLLET SPONSORED COMMUNITY COLLABORATIVE - PARK NICOLLET FOUNDATION REGULARLY SPONSORS OR PARTICIPATES IN COLLABORATIVE GROUPS TO DISCUSS ISSUES AND TOPICS AFFECTING RESIDENTS IN THE COMMUNITY. THESE MEETINGS ARE HELD AT DIFFERENT LOCATIONS THROUGHOUT PARK NICOLLET'S SERVICE AREA. THE FOLLOWING ARE SOME EXAMPLES OF THIS WORK:CHILDREN FIRST DAKOTA COUNTY HEALTHY COMMUNITY COLLABORATIVEMEADOWBROOK COLLABORATIVENORTHWEST HENNEPIN HEALTHY COMMUNITY PARTNERSHIPST. LOUIS PARK SUCCESSFUL AGING INITIATIVESCOTT COUNTY HEALTHY COMMUNITY COLLABORATIVETHE FOLLOWING ARE EXAMPLES OF SPECIFIC ACTIVITIES THAT ARE SUPPORTED BY THE PARK NICOLLET FOUNDATION AND PARK NICOLLET HEALTH SERVICES AND DEMONSTRATE THE ORGANIZATION'S COMMITMENT TO THE COMMUNITY AND MEETING UNMET COMMUNITY NEEDS.INNOVATION AND RESEARCH - RESEARCH IS EMBEDDED IN DEPARTMENTS AND STRATEGIES ACROSS PARK NICOLLET TO SUPPORT QUALITY INITIATIVES AND THE PATIENT EXPERIENCE. RESEARCH ENCOMPASSES INVESTIGATOR-INITIATED STUDIES, CLINICAL TRIALS, PRACTICE-BASED RESEARCH, OUTCOMES AND QUALITY IMPROVEMENT PROJECTS, DATA ANALYTICS, STATISTICS, SURVEY DEVELOPMENT AND FOCUS GROUPS.OUR PARK NICOLLET HEALTH LIBRARY PROVIDES RESOURCES AND SERVICES FOR PATIENTS, FAMILY AND THE COMMUNITY. THIS INCLUDES LITERATURE SEARCHES AND DOCUMENT DELIVERY, AS WELL AS ACCESS TO PRINT, ONLINE AND INTERNET RESOURCES.VOLUNTEER SERVICES - AS A PART OF THE FOUNDATION, PARK NICOLLET VOLUNTEER SERVICES SUPPORTS AND MANAGES VOLUNTEERS TO ENHANCE PATIENT CARE ACROSS ALL OF PARK NICOLLET HEALTH SERVICES. MORE THAN 1,500 VOLUNTEERS SUPPORTED 86 PARK NICOLLET DEPARTMENTS. COMMUNITY PARTNERSHIP - PARK NICOLLET FOUNDATION PARTNERS WITH PARK NICOLLET HEALTH SERVICES, 13 SCHOOL DISTRICTS, 72 PUBLIC SCHOOLS AND AREA NONPROFITS TO ADDRESS UNMET HEALTH NEEDS AND IMPROVE ACCESS TO CARE. PATIENT AND FAMILY EXPERIENCE - PARK NICOLLET FOUNDATION BRINGS ENHANCED CARE TO PARK NICOLLET CLINICS, SPECIALTY CENTERS AND METHODIST HOSPITAL BY PARTNERING TO GIVE PEOPLE THE SAFE AND CARING ENVIRONMENT THEY NEED TO HEAL, THROUGH THE FOLLOWING PROGRAMS: GROWING THROUGH GRIEF - A SCHOOL-SUPPORT PROGRAM FOR CHILDREN AND TEENS WHO HAVE EXPERIENCED THE DEATH OF A FAMILY MEMBER OR FRIEND. MAMMO A-GO-GO COMMUNITY OUTREACH PROGRAM - OUR MOBILE MAMMO A-GO-GO COMMUNITY OUTREACH PROGRAM PROVIDES NO-FEE BREAST CANCER SCREENING, DIAGNOSTIC SERVICES AND EDUCATION TO WOMEN IN NEED IN OUR COMMUNITY. GOOD TO BE HOME - FIREFIGHTERS FROM EDEN PRAIRIE, HOPKINS, MINNETONKA, PLYMOUTH AND ST. LOUIS PARK MADE HOME VISITS TO 211 METHODIST HOSPITAL PATIENTS AFTER HOSPITAL DISCHARGE. VISITS INCLUDE MEDICATION REVIEW AND HOME SAFETY CHECKS. SCHOOL-BASED HEALTH RESOURCE CENTERS - PROVIDING NO-FEE SCHOOL-BASED MEDICAL CARE TO CHILDREN AND YOUTH FROM BIRTH THROUGH HIGH SCHOOL GRADUATION AT FOUR CENTER LOCATIONS. NOW!(NO OBSTACLES TO WELL-BEING) - SCHOOL BASED TELEMENTAL HEALTH. |
| PART VI, LINE 6: | PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSES IN MULTIPLE WAYS THROUGH METHODIST HOSPITAL, PARK NICOLLET CLINIC, SPECIALTY PROGRAMS AND ITS COMMITMENT TO RESEARCH AND EDUCATION. PARK NICOLLET STRIVES TO MEET ITS COMMITMENT TO THE TRIPLE AIM OF PROVIDING HIGH QUALITY HEALTH CARE AT AN AFFORDABLE COST TO THE COMMUNITY BY ENHANCING THE PATIENT EXPERIENCE.PARK NICOLLET'S COMMITMENT TO THE PATIENT AND FAMILY EXPERIENCE IS ARTICULATED THROUGH A FOCUS ON HEAD + HEART, TOGETHER (HHT). "HEAD" REFERS TO OUR WORK AROUND EVIDENCE-BASED MEDICINE, OUR ATTENTION TO CLINICAL OUTCOMES, THE WAY WE WILL USE DATA TO MAKE DECISIONS ABOUT THE BEST CARE PROTOCOL TO FOLLOW, AND THE BUSINESS OF RUNNING A LARGE HEALTH CARE SYSTEM."HEART" IS ALL ABOUT PROVIDING COMPASSIONATE CARE IN THE MOMENT AND KEEPING OUR PATIENTS AT THE CENTER OF EVERYTHING WE DO AND EVERY DECISION WE MAKE. WHEN WE WORK ACROSS BOUNDARIES WITH OUR PATIENTS AND FAMILIES, WE WON'T DO THINGS "TO OR "FOR" PATIENTS - WE WILL DO THINGS WITH PATIENTS AND THEIR FAMILIES."TOGETHER" MEANS DOING BOTH HEAD- AND HEART-CENTERED ACTIVITIES IN COMBINATION. IT ALSO MEANS WORKING AS A TEAM ACROSS DEPARTMENTS AND SPECIALTIES, ALL OF US UNITED AROUND CARING TOGETHER WITH OUR PATIENTS AND THEIR FAMILIES IN THE COMMUNITIES WE SERVE.PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSE THROUGH ITS 426-BED METHODIST HOSPITAL IN ST. LOUIS PARK, 25 CLINIC LOCATIONS IN ITS 96 ZIP CODE SERVICE AREA, 55 MEDICAL SPECIALTIES AND SUBSPECIALTIES, AND 12 SPECIALTY CENTERS. PARK NICOLLET FOUNDATION SERVES AS THE CONVENER OF THE COMMUNITIES WE SERVE, INVOLVING ADMINISTRATIVE AND MEDICAL STAFF IN ITS INTEGRATED SYSTEM, TO ASSESS COMMUNITY NEED AND FACILITATE A BROAD ARRAY OF CLINICAL AND SPECIALTY SERVICES AND THE ADMINISTRATIVE SUPPORT TO MEET UNMET NEEDS IN THE COMMUNITY. PARK NICOLLET FOUNDATION ALSO PROVIDES FINANCIAL ASSISTANCE TO COMMUNITY ORGANIZATIONS AND SERVICES THAT ARE CONSISTENT WITH NEEDS IDENTIFIED IN THE CHNA AS PRIORITIZED BY ITS BOARD OF DIRECTORS. PARK NICOLLET FOUNDATION'S BOARD OF DIRECTORS IS A COMMUNITY BOARD AND PROVIDES ACTIVE PARTICIPATION IN THE NONPROFIT MISSION OF THE ORGANIZATION.PARK NICOLLET'S INTEGRATED SYSTEM PROVIDES COMMUNITY BENEFIT TO UNDERSERVED POPULATIONS THROUGH CONVENING OF COMMUNITIES, EDUCATION AND SUPPORT OF PATIENTS AND COMMUNITY MEMBERS DIAGNOSED WITH CHRONIC DISEASE, AND RESEARCH TO IMPROVE QUALITY OF LIFE. HEALTH PROFESSIONALS WITHIN THE INTEGRATED SYSTEM ASSIST PATIENTS IN THE COMMUNITY, IN THE STATE, IN THE NATION, AND AROUND THE WORLD WHO NEED SPECIALIZED PROGRAMS AND SERVICES FOR VARIOUS CONDITIONS.PARK NICOLLET ALSO IS A RECOGNIZED LEADER IN PROCESS IMPROVEMENTS TO COORDINATE PATIENT CARE AND PROVIDE PATIENTS WITH SOCIAL SUPPORT SYSTEMS TO IMPROVE POPULATION HEALTH. THIS HAS BEEN ACCOMPLISHED THROUGH ITS INITIATIVES THROUGH THE PHYSICIAN GROUP PRACTICE DEMONSTRATION PROGRAM SPONSORED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PARK NICOLLET ALSO PARTICIPATES IN THE NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION PROGRAM THAT IS SPONSORED BY THE CENTER FOR MEDICARE AND MEDICAID INNOVATION. IN ADDITION TO INNOVATING AROUND CARE DELIVERY DESIGN AND PATIENT SUPPORT SERVICES, PARK NICOLLET PARTICIPATES IN MULTIPLE LEARNING INITIATIVES TO SHARE ITS KNOWLEDGE AND LESSONS LEARNED WITH OTHER ORGANIZATIONS ACROSS THE COMMUNITY AND THE COUNTRY. PARK NICOLLET HAS BEEN COMMITTED TO THESE EFFORTS IN SUPPORT OF ITS COMMITMENT TO THE TRIPLE AIM OF IMPROVING HEALTH, PATIENT EXPERIENCE AND AFFORDABILITY BY PROVIDING COMMUNITIES WITH SUPPORT SYSTEMS ASSISTING PATIENTS AND FAMILIES TO IMPROVE THEIR HEALTH.GRANTS AND COMMUNITY SUPPORT - IN 2018, PARK NICOLLET FOUNDATION GRANTED $6.3 MILLION TO PARK NICOLLET DEPARTMENTS AND COMMUNITY 501(C)(3) ORGANIZATIONS TO FUND OUTREACH SERVICES AND SUPPORT PROGRAMS ADDRESSING OUR KEY PRIORITIES FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. PARK NICOLLET SUPPORTS SCHOOL-BASED HEALTH CENTERS. IN 2019, WE OFFERED NO-CHARGE HEALTH CARE TO CHILDREN FROM INFANCY THROUGH HIGH SCHOOL GRADUATION AT OUR SCHOOL-BASED HEALTH CENTERS IN BROOKLYN CENTER, BURNSVILLE, RICHFIELD, AND ST. LOUIS PARK. NO-CHARGE AND LOW-COST DENTAL AND MENTAL HEALTH CARE IS AVAILABLE BY APPOINTMENT. PARTICIPATING FAMILIES INCLUDE THOSE WHO ARE UNABLE TO AFFORD HEALTH CARE, ARE NEW TO THE AREA OR HAVE SENSITIVE HEALTH CARE NEEDS. WALK-IN VISITORS ARE WELCOME AT ALL LOCATIONS. ALL HEALTH CENTERS ARE OPERATED IN PARTNERSHIP WITH LOCAL SCHOOL DISTRICTS AND FUNDED BY PARK NICOLLET FOUNDATION.IMMUNIZATIONS - MINNESOTA LAW REQUIRES IMMUNIZATIONS, OR WRITTEN PROOF OF EXEMPTION, FOR SCHOOL-AGE CHILDREN TO ATTEND SCHOOL. PARK NICOLLET FOUNDATION COLLABORATES WITH SCHOOL DISTRICTS TO HAVE ALL CHILDREN IMMUNIZED. PARK NICOLLET OFFERS ENHANCED ACCESS FOR CHILDREN NEEDING IMMUNIZATIONS AS PART OF THE NO SHOTS, NO SCHOOL PROGRAM, WHICH IS AVAILABLE IN MAY, AUGUST AND THE FIRST TWO WEEKS OF SEPTEMBER. WE ALSO GIVE FREE IMMUNIZATIONS YEAR-ROUND AT THE SCHOOL-BASED HEALTH RESOURCE CENTERS.+PARK NICOLLET SPONSORED COMMUNITY COLLABORATIVE - PARK NICOLLET FOUNDATION REGULARLY SPONSORS OR PARTICIPATES IN COLLABORATIVE GROUPS TO DISCUSS ISSUES AND TOPICS AFFECTING RESIDENTS IN THE COMMUNITY. THESE MEETINGS ARE HELD AT DIFFERENT LOCATIONS THROUGHOUT PARK NICOLLET'S SERVICE AREA. THE FOLLOWING ARE SOME EXAMPLES OF THIS WORK:CHILDREN FIRST DAKOTA COUNTY HEALTHY COMMUNITY COLLABORATIVEMEADOWBROOK COLLABORATIVENORTHWEST HENNEPIN HEALTHY COMMUNITY PARTNERSHIPST. LOUIS PARK SUCCESSFUL AGING INITIATIVESCOTT COUNTY HEALTHY COMMUNITY COLLABORATIVETHE FOLLOWING ARE EXAMPLES OF SPECIFIC ACTIVITIES THAT ARE SUPPORTED BY THE PARK NICOLLET FOUNDATION AND PARK NICOLLET HEALTH SERVICES AND DEMONSTRATE THE ORGANIZATION'S COMMITMENT TO THE COMMUNITY AND MEETING UNMET COMMUNITY NEEDS.INNOVATION AND RESEARCH - RESEARCH IS EMBEDDED IN DEPARTMENTS AND STRATEGIES ACROSS PARK NICOLLET TO SUPPORT QUALITY INITIATIVES AND THE PATIENT EXPERIENCE. RESEARCH ENCOMPASSES INVESTIGATOR-INITIATED STUDIES, CLINICAL TRIALS, PRACTICE-BASED RESEARCH, OUTCOMES AND QUALITY IMPROVEMENT PROJECTS, DATA ANALYTICS, STATISTICS, SURVEY DEVELOPMENT AND FOCUS GROUPS.OUR PARK NICOLLET HEALTH LIBRARY PROVIDES RESOURCES AND SERVICES FOR PATIENTS, FAMILY AND THE COMMUNITY. THIS INCLUDES LITERATURE SEARCHES AND DOCUMENT DELIVERY, AS WELL AS ACCESS TO PRINT, ONLINE AND INTERNET RESOURCES.VOLUNTEER SERVICES - AS A PART OF THE FOUNDATION, PARK NICOLLET VOLUNTEER SERVICES SUPPORTS AND MANAGES VOLUNTEERS TO ENHANCE PATIENT CARE ACROSS ALL OF PARK NICOLLET HEALTH SERVICES. MORE THAN 1,700 VOLUNTEERS SUPPORTED 81 PARK NICOLLET DEPARTMENTS. COMMUNITY PARTNERSHIP - PARK NICOLLET FOUNDATION PARTNERS WITH PARK NICOLLET HEALTH SERVICES, 14 SCHOOL DISTRICTS, 82 PUBLIC SCHOOLS AND AREA NONPROFITS TO ADDRESS UNMET HEALTH NEEDS AND IMPROVE ACCESS TO CARE. PATIENT AND FAMILY EXPERIENCE - PARK NICOLLET FOUNDATION BRINGS ENHANCED CARE TO PARK NICOLLET CLINICS, SPECIALTY CENTERS AND METHODIST HOSPITAL BY PARTNERING TO GIVE PEOPLE THE SAFE AND CARING ENVIRONMENT THEY NEED TO HEAL, THROUGH THE FOLLOWING PROGRAMS: GROWING THROUGH GRIEF - A SCHOOL-SUPPORT PROGRAM FOR CHILDREN AND TEENS WHO HAVE EXPERIENCED THE DEATH OF A FAMILY MEMBER OR FRIEND. MAMMO A-GO-GO COMMUNITY OUTREACH PROGRAM - OUR MOBILE MAMMO A-GO-GO COMMUNITY OUTREACH PROGRAM PROVIDES NO-FEE BREAST CANCER SCREENING, DIAGNOSTIC SERVICES AND EDUCATION TO WOMEN IN NEED IN OUR COMMUNITY. GOOD TO BE HOME - FIREFIGHTERS FROM EDEN PRAIRIE, HOPKINS, MINNETONKA, PLYMOUTH AND ST. LOUIS PARK MADE HOME VISITS TO 145 METHODIST HOSPITAL PATIENTS AFTER HOSPITAL DISCHARGE. VISITS INCLUDE MEDICATION REVIEW AND HOME SAFETY CHECKS. SCHOOL-BASED HEALTH RESOURCE CENTERS - PROVIDING NO-FEE SCHOOL-BASED MEDICAL CARE TO CHILDREN AND YOUTH FROM BIRTH THROUGH HIGH SCHOOL GRADUATION AT FOUR CENTER LOCATIONS. NOW!(NO OBSTACLES TO WELL-BEING) - SCHOOL-BASED TELEMENTAL HEALTH.PARK NICOLLET METHODIST HOSPITAL IS PART OF PARK NICOLLET HEALTH SERVICES, AN INTEGRATED HEALTH SYSTEM. OTHER AFFILIATES INCLUDE 1) PARK NICOLLET CLINIC IN MORE THAN 30 CLINICS, AND OTHER CARE LOCATIONS, 2) PARK NICOLLET FOUNDATION, THE PHILANTHROPIC ARM OF PARK NICOLLET HEALTH SERVICES, HELPING TO BRING RESOURCES TO NEEDS IN ITS COMMUNITIES, 3) PARK NICOLLET HEALTH CARE PRODUCTS, PROVIDING RETAIL PHARMACY AND HEALTH RELATED PRODUCTS THROUGH EXISTING PARK NICOLLET LOCATIONS. 4) TRIA ORTHOPAEDIC CENTER, LLC, A LEADER IN ORTHOPAEDIC TREATMENT, PROVIDING COMPREHENSIVE CARE FROM DIAGNOSIS, TO TREATMENT, TO REHABILITATION.THE SAME GROUP OF PEOPLE SERVE AS THE DIRECTORS FOR THE BOARD OF EACH OF THE AFFILIATES, EXCEPT THAT PARK NICOLLET FOUNDATION IS GOVERNED BY A DIFFERENT GROUP OF PEOPLE. EACH AFFILIATE FOCUSES ON MEETING COMMUNITY HEALTH NEEDS AND DECISIONS REGARDING THE EFFECTIVE USE OF RESOURCES TO RESPOND TO THESE NEEDS ARE COORDINATED. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINNESOTA HIGH SCHOOL LEAGUE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 FREEWAY BLVD | AddressLine1Txt |
| City | BROOKLYN CENTER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55430 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 410694702 | RecipientEIN |
| Cash Grant | $13,128 | CashGrantAmt |
| Purpose Of Grant | PROGRAM SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 16 | RecipientCnt |
| Cash Grant | $20,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE PARK NICOLLET SERVICE LEAGUE HAS A STUDENT VOLUNTEER SCHOLARSHIP PROGRAM TO GIVE FINANCIAL SUPPORT TO STUDENT VOLUNTEERS WHO HAVE PROVIDED EXCEPTIONAL VOLUNTEER SERVICE AND ARE INTERESTED IN FURTHERING THEIR EDUCATIONS. APPLICANTS MUST BE AN ACTIVE STUDENT VOLUNTEER, A SENIOR IN HIGH SCHOOL AND WHO HAS APPLIED TO A POST-HIGH SCHOOL EDUCATION PROGRAM AND MUST BE DEDICATED VOLUNTEER AT PARK NICOLLET METHODIST HOSPITAL. OCCASIONALLY PARK NICOLLET METHODIST HOSPITAL GRANTS MONIES TO OTHER TAX-EXEMPT ORGANIZATIONS CONDUCTION PROGRAMS AND/OR RESEARCH THAT WILL ULTIMATELY BENEFIT THOSE SERVICED BY PARK NICOLLET HEALTH SERVICES AND AFFILIATES, DURING CALENDAR YEAR GRANTS WERE MADE TO PARK NICOLLET FOUNDATION FOR IMPROVEMENT TO MEDICAL SERVICES, MEDICAL RESEARCH AND HEALTHY PATIENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFF MENDELOFF MD | ||||||||||||||
| DIRECTOR | $765,033 | $0 | $8,073 | $0 | $244,742 | $0 | $25,849 | $0 | $48,103 | $0 | $1,091,800 | $0 | $0 | $0 |
| BRIAN H RANK MD | ||||||||||||||
| DIRECTOR | $0 | $645,182 | $0 | $186,755 | $0 | $191,393 | $0 | $84,210 | $0 | $43,955 | $0 | $1,151,495 | $0 | $155,468 |
| RAE ANN WILLIAMS MD | ||||||||||||||
| DIRECTOR | $291,035 | $0 | $17,500 | $0 | $36,632 | $0 | $74,518 | $0 | $34,122 | $0 | $453,807 | $0 | $0 | $0 |
| ANDREA M WALSH | ||||||||||||||
| DIRECTOR & CEO | $0 | $1,229,401 | $0 | $568,848 | $0 | $114,420 | $0 | $475,794 | $0 | $55,965 | $0 | $2,444,428 | $0 | $89,690 |
| STEVEN CONNELLY MD | ||||||||||||||
| PRESIDENT PNHS | $0 | $609,143 | $0 | $175,269 | $0 | $90,045 | $0 | $100,132 | $0 | $53,982 | $0 | $1,028,571 | $0 | $76,913 |
| TRICIA DEGE | ||||||||||||||
| CFO CARE DELIVERY (AUG-DEC) | $0 | $351,575 | $0 | $129,280 | $0 | $19,372 | $0 | $70,765 | $0 | $36,370 | $0 | $607,362 | $0 | $0 |
| NANCY EVERT | ||||||||||||||
| SR. VP, GENERAL COUNSEL | $0 | $340,220 | $0 | $55,965 | $0 | $5,315 | $0 | $85,833 | $0 | $22,773 | $0 | $510,106 | $0 | $0 |
| LAURA LOBERG | ||||||||||||||
| VP SURGICAL SERVICES | $0 | $288,081 | $0 | $62,440 | $0 | $39,747 | $0 | $61,150 | $0 | $32,785 | $0 | $484,203 | $0 | $33,704 |
| TOM JONES MD | ||||||||||||||
| SR. MEDICAL DIRECTOR, SURG | $0 | $689,422 | $0 | $114,251 | $0 | $59,512 | $0 | $67,643 | $0 | $36,893 | $0 | $967,721 | $0 | $40,099 |
| STEVEN HOUSH | ||||||||||||||
| VP, ORTHOPAEDIC SERVICES | $0 | $330,538 | $0 | $73,237 | $0 | $10,159 | $0 | $21,000 | $0 | $35,119 | $0 | $470,053 | $0 | $0 |
| KATE KEIPER | ||||||||||||||
| VP HUMAN RESOURCES | $0 | $267,842 | $0 | $57,151 | $0 | $306 | $0 | $25,849 | $0 | $16,931 | $0 | $368,079 | $0 | $0 |
| KATE KLUGHERZ | ||||||||||||||
| VP SPECIALTY SERVICES | $0 | $289,715 | $0 | $64,090 | $0 | $43,571 | $0 | $62,083 | $0 | $36,432 | $0 | $495,891 | $0 | $34,595 |
| CATHERINE LENAGH | ||||||||||||||
| VP & CFO (DEC-AUG) | $0 | $279,272 | $0 | $79,381 | $0 | $216,588 | $0 | $12,341 | $0 | $38,232 | $0 | $625,814 | $0 | $42,848 |
| KRISTI LYON | ||||||||||||||
| VP PAYER RELATIONS | $0 | $292,486 | $0 | $63,457 | $0 | $45,125 | $0 | $62,305 | $0 | $46,633 | $0 | $510,006 | $0 | $33,181 |
| JIM LYONS | ||||||||||||||
| HUTCHINSON PRESIDENT | $0 | $239,228 | $0 | $0 | $0 | $3,752 | $0 | $3,222 | $0 | $42,319 | $0 | $288,521 | $0 | $0 |
| JOAN SANDSTROM | ||||||||||||||
| VP PRIMARY CARE | $0 | $303,330 | $0 | $65,414 | $0 | $81,416 | $0 | $62,604 | $0 | $33,309 | $0 | $546,073 | $0 | $66,763 |
| MARK SANNESMD | ||||||||||||||
| SR MEDICAL DIRECTOR | $0 | $421,406 | $0 | $120,025 | $0 | $56,188 | $0 | $67,202 | $0 | $27,380 | $0 | $692,201 | $0 | $41,064 |
| MELISSA SCHOENHERR | ||||||||||||||
| VP MARKETING AND COMMUNICA | $0 | $292,218 | $0 | $63,084 | $0 | $40,547 | $0 | $61,467 | $0 | $49,968 | $0 | $507,284 | $0 | $31,769 |
| MICHAEL SEIM MD | ||||||||||||||
| MEDICAL AFFAIRS & CMO | $0 | $370,518 | $0 | $78,371 | $0 | $3,977 | $0 | $71,236 | $0 | $18,764 | $0 | $542,866 | $0 | $0 |
| DUANE SPIEGLE | ||||||||||||||
| VP REAL ESTATE AND SUPPORT | $0 | $284,927 | $0 | $61,902 | $0 | $51,899 | $0 | $60,846 | $0 | $47,825 | $0 | $507,399 | $0 | $35,895 |
| MATT WESTERLUND | ||||||||||||||
| VP QUALITY AND SAFTEY | $0 | $155,615 | $0 | $15,203 | $0 | $1,501 | $0 | $13,219 | $0 | $55,305 | $0 | $240,843 | $0 | $0 |
| JOSHUA ZIMMERMAN | ||||||||||||||
| SR MEDICAL DIRECTOR | $0 | $406,273 | $0 | $74,560 | $0 | $38,863 | $0 | $59,715 | $0 | $19,104 | $0 | $598,515 | $0 | $29,253 |
| NANCY MCCLURE | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $596,203 | $0 | $178,187 | $0 | $203,222 | $0 | $85,334 | $0 | $43,292 | $0 | $1,106,238 | $0 | $144,722 |
| BARBARA TRETHEWAY | ||||||||||||||
| SR. VP, GENERAL COUNSEL | $0 | $296,727 | $0 | $187,253 | $0 | $129,526 | $0 | $14,000 | $0 | $21,592 | $0 | $649,098 | $0 | $111,266 |
| JENNIFER MYSTER | ||||||||||||||
| METHODIST PRESIDENT | $0 | $386,242 | $0 | $50,000 | $0 | $34,360 | $0 | $47,117 | $0 | $35,931 | $0 | $553,650 | $0 | $0 |
| KASEY PAULUS | ||||||||||||||
| VP INPATIENT & CNO | $0 | $231,560 | $0 | $25,293 | $0 | $1,833 | $0 | $19,693 | $0 | $8,498 | $0 | $286,877 | $0 | $0 |
| TOM WALSH MD | ||||||||||||||
| SR. MEDICAL DIRECTOR ORTHOPAEDIC SER | $0 | $750,311 | $0 | $101,657 | $0 | $13,472 | $0 | $25,849 | $0 | $36,896 | $0 | $928,185 | $0 | $0 |
| PETER LEE MD | ||||||||||||||
| MEDICAL DOCTOR | $1,455,909 | $0 | $0 | $0 | $4,596 | $0 | $25,849 | $0 | $50,063 | $0 | $1,536,417 | $0 | $0 | $0 |
| ROBERT WERLING MD | ||||||||||||||
| MEDICAL DOCTOR | $965,585 | $0 | $0 | $0 | $279,282 | $0 | $25,849 | $0 | $51,395 | $0 | $1,322,111 | $0 | $0 | $0 |
| GREGORY R HILDEBRAND | ||||||||||||||
| MEDICAL DOCTOR | $930,286 | $0 | $0 | $0 | $133,134 | $0 | $25,849 | $0 | $26,689 | $0 | $1,115,958 | $0 | $0 | $0 |
| MARK WILCZYNSKI MD | ||||||||||||||
| MEDICAL DOCTOR | $835,123 | $0 | $0 | $0 | $177,160 | $0 | $25,849 | $0 | $49,476 | $0 | $1,087,608 | $0 | $0 | $0 |
| BRIAN WALTERS MD | ||||||||||||||
| MEDICAL DOCTOR | $1,034,232 | $0 | $0 | $0 | $426,049 | $0 | $25,849 | $0 | $37,972 | $0 | $1,524,102 | $0 | $0 | $0 |
| CARA HULL | ||||||||||||||
| FORMER VP HUMAN RESOURCES | $0 | $366,245 | $0 | $101,762 | $0 | $14,371 | $0 | $21,000 | $0 | $35,687 | $0 | $539,065 | $0 | $0 |
| THEODORE WEGLEITNER | ||||||||||||||
| FORMER COO TRIA | $0 | $434,318 | $0 | $108,899 | $0 | $5,759 | $0 | $79,487 | $0 | $37,077 | $0 | $665,540 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | SCHEDULE J, PART I LINE 4A: SEVERANCE PAYMENT CATHERINE LENAGH $98,662 SCHEDULE J, PART I, LINE 4B: SENIOR LEADERS OF PARK NICOLLET HEALTH SERVICES AND AFFILIATES ARE GIVEN THE OPPORTUNITY TO PARTICIPATE IN THE CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION ACCOUNT PLAN (CAA PLAN) PARTICIPATION IS LIMITED TO SENIOR LEADERS AND ALL THE VICE PRESIDENTS. EACH PARTICIPANT RECEIVES AN ANNUAL ALLOWANCE EQUAL TO THE SUM OF (I) A STATED PERCENT OF SALARY, (II) VOLUNTARY SALARY DEFERRALS. THE ALLOWANCE IS CREDITED TO A BOOKKEEPING ACCOUNT. EARNINGS ARE CREDITED TO THE ACCOUNT BASED ON THE PERFORMANCE OF SIMULATED INVESTMENTS. BENEFITS VEST UPON THE EARLIEST OF REMAINING EMPLOYED TO AN ELECTIVE VESTING DATE (TWO YEARS TO AGE 68), INVOLUNTARY TERMINATION WITHOUT CAUSE, DISABILITY, DEATH, OR NOT COMPETING FOR 24 MONTHS FOLLOWING VOLUNTARY OR FOR-CAUSE TERMINATION. BENEFITS ARE PAID IN A SINGLE LUMP SUM UPON VESTING. PARTICIPANTS ARE GENERAL CREDITORS OF THE EMPLOYER FOR THE PAYMENT OF THE BENEFITS. THE FOLLOWING PARTICIPANTS RECEIVED PAYOUTS FROM A RELATED ORGANIZATION, PARK NICOLLET HEALTH SERVICES, RELATED TO CAA PLAN: NAME COMPENSATION STEVEN CONNELLY, MD $ 74,283 LAURA LOBERG $ 35,301 CATHERINE LENAGH $ 12,341 JOAN SANDSTROM $ 36,755 CATHERINE KLUGHERZ $ 36,234 JOSHUA ZIMMERMAN MD $ 33,866 KRISTI LYON $ 36,456 MELISSA SCHOENHERR $ 35,618 TOM JONES $ 41,794 NANCY EVERT $ 14,244 TED WEGLEITNER $ 38,373 MARK SANNES $ 41,353 DUANE SPIEGLE $ 34,997 ANDREA WALSH $ 163,674 TRICIA DEGE $ 7,633 JENNIFER MYSTER $ 12,918 MICHAEL SEIM $ 45,387 |
| PART I, LINE 7 | PARK NICOLLET HEALTH SERVICE'S (PNHS) PRESIDENT AND ITS OFFICERS MAY RECEIVE COMPENSATION BASED ON THE PARK NICOLLET HEALTH SERVICES SENIOR EXECUTIVE INCENTIVE PROGRAM (SEIP). SEIP INCENTS AND REWARDS SENIOR BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAM IS A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. SEIP REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, SENIOR MEDICAL DIRECTOR) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO CLINIC AND HOSPITAL QUALITY MEASURES, PATIENT SAFETY, HEALTH EQUITY, HEALTH CARE AFFORDABILITY MEASURES, PATIENT AND MEMBER SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH PLAN AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. IN THEIR ROLES AS MANAGEMENT EMPLOYED BY PNHS, CERTAIN DIRECTORS AND MANAGERS MAY RECEIVE COMPENSATION BASED ON THE PARK NICOLLET MIDDLE MANAGEMENT INCENTIVE PROGRAM (MMIP). MMIP INCENTS AND REWARDS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. MMIP GOALS ARE SIMILAR IN NATURE TO THOSE IN THE SEIP HOWEVER THERE IS A DIFFERENCE AS MMIP GOALS INCLUDE BOTH AN ORGANIZATION FINANCIAL MEASURE AND A LOCAL DEPARTMENT FINANCIAL MEASURE. THE LOCAL MEASURE IS BASED ON FINANCIAL RESULTS OF THE DEPARTMENT OR SERVICE LINE AND IS THE ONLY MMIP GOAL THAT ALLOWS AN OPPORTUNITY FOR INCENTIVE CREDIT ABOVE THE TARGET LEVEL BASED ON THE RESULTS. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND ONCE MET THE ULTIMATE MMIP PAYOUT DEPENDS RESULTS OF THE BUSINESS GOAL PERFORMANCE, THE ORGANIZATION AND LOCAL FINANCIAL MEASURES AND THE PERCENTAGE PAYOUT ALLOWED BASED ON THE PARTICIPATION LEVEL. |
| FORM 990, SCHEDULE J PART II, COLUMN F: | PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEAR'S 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS: STEVEN CONNELLY, MD $ 76,913 LAURA LOBERG $ 33,704 CATHERINE LENAGH $ 42,848 JOAN SANDSTROM $ 66,763 CATHERINE KLUGHERZ $ 34,595 JOSHUA ZIMMERMAN MD $ 29,253 KRISTI LYON $ 33,181 MELISSA SCHOENHERR $ 31,769 DUANE SPIEGLE $ 35,895 TOM JONES $ 40,099 MARK SANNES $ 41,064 BARBARA TRETHEWAY $ 111,266 BRIAN RANK $ 155,468 NANCY MCLURE $ 144,722 ANDREA WALSH $ 89,690 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALISON ECKHOFF | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ALISON ECKHOFF, THE SPOUSE OF MARK SANNES, MD, AN OFFICER OF PARK NICOLLET | RelationshipDescriptionTxt |
| Transaction | $171,735 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A, EXEMPT PURPOSE AND ACHEIVEMENTS | CORPORATE STRUCTURE, PURPOSE, GOVERNANCE THE PARK NICOLLET GROUP RETURN (GROUP) INCLUDES PARK NICOLLET METHODIST HOSPITAL (METHODIST), PARK NICOLLET CLINIC (PNC), PARK NICOLLET HEALTH CARE PRODUCTS (PNHCP), AND PNMC HOLDINGS ALL OF WHICH ARE SUBSIDIARIES OF PARK NICOLLET HEALTH SERVICE (PNHS), A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). PNHS IS THE PARENT ORGANIZATION TO AN INTEGRATED CARE SYSTEM THAT INCLUDES METHODIST, PNC, PNHCP, PNMC HOLDINGS, PARK NICOLLET FOUNDATION (PNF), PARK NICOLLET ENTERPRISES (PNE), HUTCHINSON HEALTH (HH), AND TRIA ORTHOPAEDIC CENTER, LLC (TRIA). PARK NICOLLET HEALTH SERVICES NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION, LLC, WAS ORGANIZED AS AN LLC IN 2018, FOR WHICH PNC IS THE SOLE MEMBER. FOR THE SECOND YEAR, BECKER'S HOSPITAL REVIEW, A HIGHLY RESPECTED HEALTH CARE PUBLICATION, IS RECOGNIZING PARK NICOLLET AS ONE OF THE ACCOUNTABLE CARE ORGANIZATIONS TO KNOW. THIS RECOGNITION IS BASED ON FACTORS INCLUDING QUALITY AND COST. THERE ARE ABOUT 650 PRIVATE AND PUBLIC ACOS IN THE U.S. ABOUT 20 PERCENT OF MEDICARE BENEFICIARIES RECEIVE CARE FROM AN ACO. PARK NICOLLET HAS PARTICIPATED IN CMS ACO MODELS SINCE 2012. SINCE THEN, IT HAS SAVED MEDICARE MORE THAN $6 MILLION DOLLARS. PNHS IS A NONPROFIT, INTEGRATED CARE DELIVERY SYSTEM. IT IS STAFFED BY NATIONALLY RECOGNIZED HOSPITAL AND CLINIC DOCTORS, CLINICAL PROFESSIONALS, NURSES AND OTHER TEAM MEMBERS WHO HELP PATIENTS STAY HEALTHY AND TAKE CARE OF THEM WHEN THEY ARE SICK. PNHS IS PART OF THE HEALTHPARTNERS ORGANIZATION, "HEALTHPARTNERS." FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION, AND IS THE LARGEST CONSUMER-GOVERNED NONPROFIT HEALTH CARE ORGANIZATION IN THE COUNTRY. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,800 PHYSICIANS AND DENTISTS, SEVEN OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 125 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.2 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES CONTINUING IN 2019 ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS AND PATIENTS LIVE HEALTHIER LIVES. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES CONTINUING IN 2019 ARE TOTAL COST OF CARE MEASUREMENTS (DEVELOPMENT OF A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). PNHS IS ONE OF THE NATION'S LARGEST CARE SYSTEMS. WE CARE FOR PATIENTS AT MORE THAN 30 LOCATIONS IN THE TWIN CITIES. THESE INCLUDE PRIMARY AND SPECIALTY CARE CLINICS AND HOSPITALS. WITHIN PNHS ARE SEVERAL NATIONALLY-RENOWNED SPECIALTY CARE FACILITIES, INCLUDING: PARK NICOLLET BARIATRIC SURGERY & WEIGHT CENTER PERFORMS MORE THAN 400 SURGERIES (MOST LAPAROSCOPICALLY) EACH YEAR AND HAS BEEN DESIGNATED A CENTER OF EXCELLENCE BY AMERICAN SOCIETY FOR BARIATRIC SURGERY. PARK NICOLLET FRAUENSHUH CANCER CENTER OFFERS A FULL RANGE OF SERVICES AND STATE-OF-THE-ART TECHNOLOGY TO FIGHT CANCER, INCLUDING SURGERY, CHEMOTHERAPY AND RADIATION THERAPY. CANCER CARE AND TREATMENT IS PERSONALIZED FOR EACH PATIENT. FAMILIES AND PATIENTS CAN BENEFIT FROM SERVICES, INCLUDING PSYCHOTHERAPY, SUPPORT AND EDUCATION - ALL IN THE PATIENT'S ROOM AND IN ONE LOCATION. PARK NICOLLET HEART AND VASCULAR CENTER OFFERS AN INTEGRATED LOOK AT THE ENTIRE CARDIOVASCULAR SYSTEM - HEART, VEINS, ARTERIES, BRAINS, LUNGS AND KIDNEYS. THE CARE TEAM INCLUDES BOARD-CERTIFIED CARDIOLOGISTS, CARDIAC AND VASCULAR SURGEONS AND INTERVENTIONAL RADIOLOGISTS. PARK NICOLLET INTERNATIONAL DIABETES CENTER PROVIDES WORLD-CLASS DIABETES CARE, EDUCATION AND CLINICAL RESEARCH TO MEET THE NEEDS OF PEOPLE WITH DIABETES, THEIR FAMILIES AND THE HEALTH PROFESSIONALS WHO CARE FOR THEM. WE ARE RECOGNIZED INTERNATIONALLY FOR OUR RANGE OF CLINICAL AND EDUCATIONAL PROGRAMS, PRODUCTS AND SERVICES. PARK NICOLLET JANE BRATTAIN BREAST CENTER OFFERS A FULL RANGE OF BREAST CANCER TESTING AND TREATMENT. OUR CENTER IS DESIGNED BY WOMEN FOR WOMEN, WITH EXPERIENCED PROFESSIONALS DEDICATED TO BREAST HEALTH. PARK NICOLLET MELROSE CENTER HAS 25 YEARS OF EXPERIENCE HELPING THOSE STRUGGLING WITH EATING DISORDERS AND HAS DEVELOPED EVIDENCE-BASED, PROVEN TREATMENT METHODS. OUR HIGHLY-TRAINED STAFF WORKS IN CARE TEAMS TO PROVIDE TREATMENT THAT SPANS SEVERAL DISCIPLINES. PARK NICOLLET STRUTHERS PARKINSON'S CENTER IS DEDICATED TO PROVIDING COMPREHENSIVE ASSESSMENT, TREATMENT, SUPPORT, EDUCATION AND RESEARCH TO IMPROVE THE QUALITY OF LIFE OF PEOPLE AFFECTED BY PARKINSON'S. STRUTHERS PARKINSON'S CENTER IS A NATIONAL PARKINSON'S FOUNDATION CENTER OF EXCELLENCE. THE WOMEN'S CENTER IN ST. LOUIS PARK WAS DESIGNED FOR BUSY WOMEN. THEY GET CARE, COMFORT AND CONVENIENCE, AND WE BRING ALL THE SERVICES TO THEM - IN ONE LOCATION. THIS MEANS THEY CAN ADDRESS MULTIPLE NEEDS IN ONE VISIT. WE OFFER A FULL RANGE OF WOMEN'S HEALTH SERVICES, INCLUDING OBSTETRICS AND PRENATAL CARE, GYNECOLOGY AND UROGYNECOLOGY, BIRTH CONTROL, MENOPAUSE, INCONTINENCE AND PELVIC FLOOR DISORDERS. |
| PART III, CONT. | METHODIST HAS 426 PATIENT BEDS AND MORE THAN 1,200 PHYSICIANS ON STAFF. IT IS A LEADER IN CANCER, HEART, MATERNITY AND ORTHOPAEDIC CARE. IT'S LOCATED IN ST. LOUIS PARK, MINNESOTA. METHODIST IS RENOWNED FOR HIGH QUALITY PATIENT CARE, MEDICAL EXPERTISE AND DISEASE MANAGEMENT. RECOGNIZED AS AN AREA LEADER IN CANCER, CARDIOVASCULAR AND MATERNITY CARE AND NEUROREHABILITATION MEDICINE, OUR TEAM OF EXPERTS IS HIGHLY TRAINED TO PROVIDE PERSONALIZED CARE AND TREATMENT. PNHCP PROVIDES DURABLE MEDICAL EQUIPMENT (DME)/SUPPLIES AND PHARMACEUTICALS SUPPORTING ONGOING PATIENT CARE FOR METHODIST AND PNC PATIENTS. PNHCP IS A RECOGNIZED LEADER IN PROVIDING PATIENTS WITH CONVENIENT ACCESS TO PROVIDER RECOMMENDED HEALTH RELATED PRODUCTS. PNHCP IS VIEWED BY PARK NICOLLET AS AN EXTENSION OF THE PROVIDER'S CARE, BY PROVIDING PRODUCTS USED AT HOME TO HELP PATIENTS ENSURE SUCCESS WITH SELF-MANAGING ANY NUMBER OF HEALTH ISSUES. THE PHARMACY @ PARK NICOLLET MEETS GROWING DEMAND FOR PHARMACEUTICAL PRODUCTS AND SERVICES. THE PHARMACIES ARE AT THESE PARK NICOLLET CLINIC LOCATIONS: BLOOMINGTON, BROOKDALE, BURNSVILLE, CARLSON PARKWAY (MINNETONKA), CHANHASSEN, EAGAN, MAPLE GROVE, MINNEAPOLIS, ST. LOUIS PARK, AND WAYZATA AS WELL AS 3931 SPECIALTY CENTER AND 6500 SPECIALTY CENTER AT METHODIST HOSPITAL. PARK NICOLLET HEALTH CARE PRODUCTS' DME DIVISION IS MADE UP OF 10 PRODUCT LINES AND MULTIPLE SALES CHANNELS, (EIGHT STORE LOCATIONS, E-COMMERCE, AND MORE THAN 300 POINT OF CARE CLOSETS FOR THE IMMEDIATE DISBURSEMENT OF DME PRODUCT TO OUR PATIENTS). THE DIVISION EMPLOYS 140 STAFF LOCATED AT 35 CLINIC AND ADMINISTRATIVE SITES. PRODUCT LINES INCLUDE DURABLE MEDICAL EQUIPMENT, MEDICAL SUPPLIES, INCLUDING OSTOMY AND WOUND CARE, SKIN CARE SERVICES AND PRODUCTS, CUSTOM ORTHOTICS AND PROSTHETICS, SLEEP EQUIPMENT AND SUPPLIES. THE PATIENT CARE EXPERIENCE DOES NOT END AT THE HOSPITAL OR CLINIC DOOR. PATIENTS HAVE MANY SELF-CARE NEEDS TO MANAGE BOTH THEIR ACUTE AND CHRONIC HEALTH CONDITIONS, AND PNHCP IS EXPANDING ITS CAPACITY TO BETTER SERVE THESE GROWING NEEDS. CONTINUED EXPANSION OF DME TO THE HEALTHPARTNERS MEDICAL GROUP SET UP AND MANAGE POINT OF CARE CLOSETS FOR CLOSE TO 30 DIFFERENT HEALTHPARTNERS CLINIC. LOCATIONS. PROVIDED DURABLE MEDICAL EQUIPMENT AT THE PATIENT'S APPOINTMENT FOR A SEAMLESS SERVICE AND INTEGRATION. SOURCE AND BILL NEBULIZERS FOR MOST OF THE HEALTHPARTNERS URGENT CARE CLINIC LOCATIONS. SOLE SOURCE FOR TURNING KNEE CADDIES AND WALKERS WITHIN THE ORGANIZATION. EXPANDED CPAP SERVICES TO A FOURTH LOCATION WITH THE ADDITION OF BURNSVILLE TWO DAYS A WEEK ALLOWS PATIENTS TO BE SEEN CLOSER TO THEIR HOMES. PROVIDES BETTER SUPPORT TO THE PULMONARY DEPARTMENT SINCE THEY EXPANDED THEIR CLINIC OFFERING TO INCLUDE BURNSVILLE. EXPANDED OPTICAL AND CONTACT LENS SERVICES TO GOLDEN VALLEY TO BETTER SERVE OUR PATIENTS. BENEFIT TO THE COMMUNITY: COMMUNITY HEALTH SERVICES: PATIENT EDUCATION - PARK NICOLLET'S PATIENT EDUCATION DEPARTMENT PROVIDES EDUCATIONAL TOOLS TO SUPPORT PATIENTS IN PREVENTING AND MANAGING ILLNESS AND IMPROVING HEALTH. WE PROVIDE PROGRAMS, CLASSES, VIDEOS, WEB CONTENT AND DECISION SUPPORT TOOLS TO HELP PATIENTS AND THE BROADER COMMUNITY TAKE AN ACTIVE ROLE IN THEIR HEALTH. THESE RESOURCES HELP PATIENTS PREVENT AND MANAGE COMMON HEALTH PROBLEMS, LIVE WELL WITH CHRONIC CONDITIONS, PREPARE FOR PROCEDURES AND IMPROVE OVERALL HEALTH AND WELL-BEING. OUR PARK NICOLLET HEALTH LIBRARY PROVIDES RESOURCES AND SERVICES FOR PATIENTS, FAMILY AND THE COMMUNITY. THIS INCLUDES LITERATURE SEARCHES AND DOCUMENT DELIVERY, AS WELL AS ACCESS TO PRINT, ONLINE AND INTERNET RESOURCES. PARK NICOLLET PARTICIPATED IN MANY ACTIVITIES IN 2019 TO HELP BRING AWARENESS AND EDUCATION TO THE COMMUNITY. CHANNEL 45 INTERVIEWS DURING HIGH SCHOOL TOURNAMENTS GIRLS STATE HOCKEY - ACL INJURIES & PRESEASON PHYSICALS BOYS STATE BASKETBALL- FEMALE TRIAD & BODY AWARENESS FOOTBALL - STINGERS HEART HEALTH AWARENESS MONTH - COORDINATE EFFORTS ACROSS OUR ORGANIZATION TO INCREASE HEART HEALTH AWARENESS IN THE COMMUNITIES WE SERVE FEBRUARY 1ST - WEAR RED DAY "REAL MEN WEAR GOWNS" SEGMENTS ON KARE-11 SOCIAL MEDIA POSTS/BLOGS INTERNAL COMMUNICATION BILLBOARDS MARCH FOR BABIES - POSITION HEALTHPARTNERS AND PARK NICOLLET AS LONG TIME ADVOCATES OF MARCH OF DIMES. ENCOURAGE EMPLOYEES TO JOIN OUR WALKING TEAM OR MAKE A FINANCIAL CONTRIBUTION. 124 REGISTERED WALKERS $7,000 RAISED EVENT ACTIVATION 4 PET THERAPY DOGS ON SITE WITH MAKE GOOD HAPPEN BANDANAS 160 POLAROID PICTURES TAKEN AND GIVEN TO WALKERS 200 BAGS FILLED AND DONATED TO NICU FAMILIES 250+ CARDS DECORATED AND DONATED TO NICU FAMILIES 125 CARING FOR KIDS COLORING BOOKS HANDED OUT 30 EVENT ACTIVATION VOLUNTEER HOURS MENTAL HEALTH AWARENESS MONTH - AS AN ORGANIZATION, WE ARE WORKING TO REDUCE MENTAL ILLNESS STIGMA. MENTAL ILLNESSES WILL AFFECT ONE IN FIVE PEOPLE, BUT MANY PEOPLE WON'T SEEK TREATMENT FOR YEARS BECAUSE THEY FEEL SHAME. MAY IS MENTAL HEALTH AWARENESS MONTH AND MANY PEOPLE AND ORGANIZATIONS USE THIS TIME TO EXPLORE THE TOPIC. LIGHT IT UP GREEN - NINE LOCATIONS INTERNAL COMMUNICATIONS ADVERTISING - MAKE IT OK MESSAGE SOCIAL DIGITAL RADIO BUS SIDES MOVIE THEATERS "REAL MEN WEAR GOWNS" TV SEGMENTS ON KARE-11 EATING DISORDERS HEROCARE MEDICATION THERAPY MANAGEMENT BEHAVIOR HEALTH / INTEGRATED CARE EMPLOYEE STORYTELLING COMMUNITY/PARTNER EVENTS NORTHLAND HEALTHY MINDS HUTCHINSON HEALTH AND MCLEOD COUNTY MINNETONKA UNITED METHODIST CHURCH TERRIBLE THANKS FOR ASKING PODCAST MAKE IT OK DIGITAL AND SOCIAL CAMPAIGN COLON CANCER AWARENESS MONTH - COORDINATED EFFORTS ACROSS OUR ORGANIZATION TO INCREASE COLON CANCER AWARENESS IN THE COMMUNITIES WE SERVE. "LIGHT IT BLUE" AT 16 LOCATIONS "REAL MEN WEAR GOWNS" SEGMENTS ON KARE-11 SOCIAL MEDIA POSTS/BLOGS INTERNAL COMMUNICATION AND CLINIC LOBBY MONITORS PATIENT AND MEMBER DIRECT MAIL PATIENT ED MATERIALS "WEAR BLUE" DAY ACROSS ORGANIZATION THE MINNESOTA CHAPTER OF THE AMERICAN CANCERS SOCIETY NAMED HEALTHPARTNERS AS THE COLORECTAL CANCER ORGANIZATION OF THE YEAR" BREAST HEALTH- COORDINATE EFFORTS ACROSS OUR ORGANIZATION TO INCREASE BREAST HEALTH AWARENESS IN THE COMMUNITIES WE SERVE LIGHT BUILDINGS PINK RACE FOR THE CURE - TO CELEBRATE MOTHER'S DAY, REGIONS HOSPITAL BREAST CENTER AND PARK NICOLLET JANE BRATTAIN BREAST CENTER SPONSORED THE 2019 RACE FOR THE CURE. THIS EVENT BROUGHT THOUSANDS OF PEOPLE TO RAISE FUNDS AND AWARENESS, CELEBRATE CANCER SURVIVORSHIP AND HONOR THOSE WHO HAVE LOST THEIR BATTLE TO THE DISEASE. 2600+ CHARMS DISTRIBUTED PARK NICOLLET FOUNDATION HOSTS BEPINK BREAKFAST TO BENEFIT JBBC 300+ ATTENDEES, RAISED $110,000 CONCERT AT THE MYSTIC LAKE CASINO SHOWROOM BENEFITTING JBBC 2,000 ATTENDEES, RAISED $19,160 RIDE FOR GROWING THROUGH GRIEF - RETIRED PARK NICOLLET PHYSICIAN JEFF MANDEL SET OUT TO RAISE FUNDS AND AWARENESS FOR OUR GROWING THROUGH GRIEF PROGRAM. HIS BIKE RIDE WAS ACROSS THE U.S., STARTING IN CALIFORNIA WITH HIS BACK TIRE IN THE PACIFIC OCEAN AND ENDING IN NY WITH HIS FRONT TIRE IN THE ATLANTIC OCEAN. GROWING THROUGH GRIEF IS AN INTENSIVE IN-SCHOOL GRIEF SUPPORT PROGRAM PROVIDED TO ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS WHO HAVE EXPERIENCED THE DEATH OF A FAMILY MEMBER OR FRIEND. GRIEF SERVICES ARE PROVIDED FREE OF CHARGE TO THE STUDENT AND INCLUDE PEER SUPPORT GROUPS AND ONE-TO-ONE COUNSELING ON A REGULAR BASIS DURING THE SCHOOL YEAR. 33 DAYS AND 5,250 MILES $30,000+ RAISED FOR STUDENTS OPIOID AWARENESS MONTH - TO BE A LEADER IN EDUCATION AND AWARENESS OF OPIOIDS FOR OUR ORGANIZATION AND THE COMMUNITIES WE SERVE. WE WANT TO RAISE AWARENESS BY IDENTIFYING COMMON OPIOIDS AND RISKS OF ADDICTION AND EDUCATE ON SAFE DISPOSAL OF OPIOIDS. DIGITAL MEDIA (RADIO, PAID SOCIAL ON FACEBOOK AND YOUTUBE, COMCAST, DIRECT TV, AND CHANNEL45) REAL MEAN WEAR GOWNS SEGMENTS EXTERNAL AND INTERNAL COMMUNICATIONS LITTLE MOMENTS COUNT CAMPAIGN - LITTLE MOMENTS COUNT IS A MOVEMENT ACROSS TWO STATES WITH MANY COMMUNITY PARTNERS WHO ALL STRONGLY SUPPORT THE MESSAGE TO ENCOURAGE EARLY INTERACTION WITH BABIES AND CHILDREN. WE'RE TURNING THE SPOTLIGHT ON THE IMPORTANCE OF TALKING, PLAYING, READING, AND SINGING TO FOSTER EARLY BRAIN DEVELOPMENT. WE'RE BRINGING OUR PASSIONS FOR CHILDREN'S HEALTH AND OUR COMMUNITY TOGETHER, IN OUR NEW LITTLE MOMENTS COUNT CAMPAIGN. INTERNAL COMMUNICATION EFFORTS HEALTH FAIRS AND COMMUNITY OUTREACH - PARK NICOLLET CARE TEAMS, DEPARTMENTS AND CLINICS PROVIDED FAIRS AND OUTREACH THROUGHOUT THE YEAR IN A NUMBER OF DIFFERENT EDUCATIONAL AND HEALTH SETTINGS. |
| PART III, CONT. | PARKTACULAR - A LITTLE PREVENTION GOES A LONG WAY TO STAY HEALTHY. PREVENTIVE CARE HELPS FIND AND STOP HEALTH ISSUES BEFORE SYMPTOMS BEGIN. AT PARKTACULAR WE CREATE AN ENGAGING BOOTH EXPERIENCE FOR PARKTACULAR ATTENDEES TO MAKE SURE PEOPLE KNOW THEY HAVE A PARTNER IN THEIR LOCAL PARK NICOLLET AND HEALTHPARTNERS CLINICS. HEALTHPARTNERS AND PARK NICOLLET HEALTH FAIR BOOTH 14 VOLUNTEERS ACTIVITIES - PLINKO - CLINIC GUESS WHOSE TEETH - DENTAL MASCOT APPEARANCE: PEAL E. WHITE - DENTAL ENVIRONMENTAL EDUCATION - GREEN TEAM GIVEAWAYS - CINCH BAGS, ICE PACKS, DUAL LOGO HATS, BUTTERFLY BOMBS TOOTH BRUSH AND TOOTHPASTE SPONSORSHIP: SATURDAY NIGHT CONCERT PRIDE - HEALTHPARTNERS AND PARK NICOLLET HAVE BEEN A PART OF THE PRIDE FESTIVAL FOR 22 YEARS AND THE PRIDE PARADE FOR THREE YEARS. HEALTHPARTNERS AND PARK NICOLLET CLINICS ARE PROUD TO BE LONG TERM ADVOCATES FOR THE LGBTQA+ COMMUNITY AND ACTIVE PARTICIPANTS IN THE PRIDE FESTIVAL AND PARADE. MANISH KALRA AND DR. DEBORAH THORP WERE RECOGNIZED BY THE MINNEAPOLIS/ST. PAUL BUSINESS JOURNAL AS 2019 BUSINESS OF PRIDE AWARD WINNERS. FESTIVAL - 84 VOLUNTEERS MEET AND GREET WITH MINNESOTA WHITECAPS NATIONAL CHAMPION ALLIE THUNSTROM MEET AND GREET WITH THE HEALTHPARTNERS AND PARK NICOLLET GENDER SERVICES TEAM ACTIVITIES: SPINNER WHEELS GIVEAWAYS: 4,000+ BUMPER STICKERS, BAND AIDS, SUNGLASSES, TOOTH BRUSHES/TOOTHPASTE, WIPES, LIP BALM, BIKE REFLECTORS, TOTES AND BUTTONS PARADE - 70 VOLUNTEERS, GIVEAWAYS: 4,200 FRISBEES AND DRAWSTRING BAGS STATE FAIR - POWERUP BOOTH INCLUDED HAVING CHOMP ONSITE TO HELP WISH SMOKEY THE BEAR A HAPPY BIRTHDAY; 2,450 ITEMS GIVEN TO KIDS REGIONS BURN CENTER HAD INTERACTIVE GAMES AND ACTIVITIES TRIA HAD A TOTAL OF 20 VOLUNTEERS FOR THEIR INTERACTIVE GAMES AND WILD MASCOT NORDY MADE AN APPEARANCE POWERUP PLAY AREA WAS VISITED BY 250K THROUGHOUT THE 12 DAYS OF THE FAIR AND WAS STAFFED BY HEALTHPARTNERS VOLUNTEERS ON 8/26 MENTAL HEALTH DAY HAD 24 VOLUNTEERS AND GAVE AWAY 2,300 BRANDED ITEMS REAL MEN WEAR GOWNS HAD 73K IMPRESSIONS FOR A LIVE BROADCAST ON OPIOIDS AT THE KARE-11 BARN AND 189K+ IMPRESSIONS FOR BANNER ADS ON KARE11.COM JBBC WAS AT 102.9 THE WOLF RADIO TO PROMOTE COUNTRY FOR A CAUSE AND HANDED OUT STICK CARDS TO REMIND WOMEN TO GET THEIR MAMMOGRAMS CAMP 5210 - CAMP 5210 FOCUSES ON LIFESTYLE CHANGES AND THE PREVENTION OF CHRONIC DISEASE, SUCH AS TYPE 2 DIABETES, CARDIOVASCULAR DISEASE AND ORTHOPEDIC PROBLEMS WITH CHILDREN AGES 7-17. CAMP CURRICULUM WAS DEVELOPED AND IMPLEMENTED BY PARK NICOLLET AND HEALTHPARTNERS TEAMS. RAISE AWARENESS WITHIN OUR CLINICS AND COMMUNITIES ABOUT THIS AMAZING OPPORTUNITY FOR KIDS WHO WOULD BENEFIT FROM NUTRITION EDUCATION AS WELL AS COUNSELING SESSIONS. INTRODUCE POWERUP AND TRY FOR 5 INTO THE CURRICULUM DONATIONS - CAMPER BACKPACKS (POWERUP MAG, JOURNAL, WATER BOTTLE, SUNGLASSES, FLASHLIGHTS, TOOTH BRUSH AND PEN, BANDANA, VEGGIE PEELER, OVEN MITT), FRUITS AND VEGETABLES (CUB FOODS) 54 CAMPERS ATTENDED 23 VOLUNTEER HOURS MAPLE GROVE DAYS - POSITION PARK NICOLLET AND TRIA AS HEALTH CARE PARTNERS IN THE MAPLE GROVE COMMUNITY. TO SHARE THE MISSION AND SERVICES OF THE MAPLE GROVE SPECIALTY CENTER. TRIA MOBILE PARK NICOLLET VAN PARADE WALKERS 42 VOLUNTEERS, 160 VOLUNTEER HOURS 7,600 GIVEAWAY ITEMS - PENS, PENCILS, CHAP STICK, GEL PACKS, FREEZE POPS TABLE AT EXPO HANDOUT CLINIC AND DEPARTMENT BROCHURES GIVEAWAYS - ROCKET WRITER PENS, CHAP STICK, GEL PACKS AND WATER BOTTLES JACK O LANTERN SPECTACULAR - SPONSOR A FAMILY FUN EVENT FOCUSED ON STAYING ACTIVE DURING THE EVENING HOURS OF OCTOBER, WHILE ENJOYING A WONDERFUL OUTDOOR EXHIBIT OF 5,000 JACK-O-LANTERNS. INTRODUCE POWERUP PROGRAM TO THE METRO AREA BY ENCOURAGING FAMILIES TO ENJOY FRUIT AS AN AFTER DINNER SNACK AND TO ENGAGE IN POWERUP ACTIVITIES. 105,575 ATTENDEES DISTRIBUTED OVER 66 CASES OF CLEMENTINES 43 VOLUNTEERS ON SELECT WEEKENDS, TWO MARKETING STAFF AND TWO MASCOTS ON ALL WEEKENDS AND SELECT EVENINGS. VEGGIE GIVEAWAYS - MAKE GOOD HAPPEN BY SUPPORTING THE COMMUNITIES WE SERVE WITH A BAG OF FRESH VEGGIES WHILE SHARING THE POWERUP MESSAGE TO "TRY FOR 5!" ATTENDANCE OF 2,070 AT 7 HP AND PN CLINIC LOCATIONS POWERUP BIKE DEPLOYMENT - UTILIZE THE POWERUP BIKE TO SHARE HEALTHPARTNERS POWERUP MESSAGE TO CHILDREN AND THEIR FAMILIES TO TRY FOR 5 FRUITS AND VEGETABLES EVERY DAY. THE BIKE OFFERS SNACK OPTIONS AT COMMUNITY EVENTS AND AFTER RACES! HANDED OUT 7,944 POWERUP SNACKS (APPLES, BANANAS, ORANGES, CARROTS AND CHEESE STICKS) AT EVENTS IN 2019 OVERALL ATTENDANCE FOR 19 EVENTS = 35,000+ VEGGIE RX - FROM JUNE 4 THROUGH JULY 27, KIDS HAVING A WELL EXAM AT HEALTHPARTNERS, PARK NICOLLET AND STILLWATER MEDICAL GROUP CLINICS RECEIVED A $10 VOUCHER REDEEMABLE FOR FRESH FRUITS AND VEGETABLES AT ANY CUB FOODS OR COLBURNS IN MINNESOTA, PLUS ECONO FOODS OR FAMILY FRESH MARKET IN WISCONSIN. VOUCHERS WERE EFFECTIVE THROUGH SEPTEMBER 30TH. PROVIDE TOOLS FOR CLINICIANS TO HAVE CONVERSATIONS ABOUT EATING BETTER WITH FAMILIES ENCOURAGE KIDS AND FAMILIES TO EAT MORE FRUITS AND VEGETABLES AMPLIFY HEALTHPARTNERS AS THE GO-TO RESOURCE FOR HEALTH, WELL-BEING AND NUTRITION 31,425 PRINTED, 4-PANEL BROCHURES WITH DETACHABLE VOUCHER AND SURVEY |
| PART III, CONT. | HANDOUT CLINIC AND DEPARTMENT BROCHURES GIVEAWAYS - ROCKET WRITER PENS, CHAP STICK, GEL PACKS AND WATER BOTTLES JACK O LANTERN SPECTACULAR - SPONSOR A FAMILY FUN EVENT FOCUSED ON STAYING ACTIVE DURING THE EVENING HOURS OF OCTOBER, WHILE ENJOYING A WONDERFUL OUTDOOR EXHIBIT OF 5,000 JACK-O-LANTERNS. INTRODUCE POWERUP PROGRAM TO THE METRO AREA BY ENCOURAGING FAMILIES TO ENJOY FRUIT AS AN AFTER DINNER SNACK AND TO ENGAGE IN POWERUP ACTIVITIES. 105,575 ATTENDEES DISTRIBUTED OVER 66 CASES OF CLEMENTINES 43 VOLUNTEERS ON SELECT WEEKENDS, TWO MARKETING STAFF AND TWO MASCOTS ON ALL WEEKENDS AND SELECT EVENINGS. VEGGIE GIVEAWAYS - MAKE GOOD HAPPEN BY SUPPORTING THE COMMUNITIES WE SERVE WITH A BAG OF FRESH VEGGIES WHILE SHARING THE POWERUP MESSAGE TO "TRY FOR 5!" ATTENDANCE OF 2,070 AT 7 HP AND PN CLINIC LOCATIONS POWERUP BIKE DEPLOYMENT - UTILIZE THE POWERUP BIKE TO SHARE HEALTHPARTNERS POWERUP MESSAGE TO CHILDREN AND THEIR FAMILIES TO TRY FOR 5 FRUITS AND VEGETABLES EVERY DAY. THE BIKE OFFERS SNACK OPTIONS AT COMMUNITY EVENTS AND AFTER RACES! HANDED OUT 7,944 POWERUP SNACKS (APPLES, BANANAS, ORANGES, CARROTS AND CHEESE STICKS) AT EVENTS IN 2019 OVERALL ATTENDANCE FOR 19 EVENTS = 35,000+ VEGGIE RX - FROM JUNE 4 THROUGH JULY 27, KIDS HAVING A WELL EXAM AT HEALTHPARTNERS, PARK NICOLLET AND STILLWATER MEDICAL GROUP CLINICS RECEIVED A $10 VOUCHER REDEEMABLE FOR FRESH FRUITS AND VEGETABLES AT ANY CUB FOODS OR COLBURNS IN MINNESOTA, PLUS ECONO FOODS OR FAMILY FRESH MARKET IN WISCONSIN. VOUCHERS WERE EFFECTIVE THROUGH SEPTEMBER 30TH. PROVIDE TOOLS FOR CLINICIANS TO HAVE CONVERSATIONS ABOUT EATING BETTER WITH FAMILIES ENCOURAGE KIDS AND FAMILIES TO EAT MORE FRUITS AND VEGETABLES AMPLIFY HEALTHPARTNERS AS THE GO-TO RESOURCE FOR HEALTH, WELL-BEING AND NUTRITION 31,425 PRINTED, 4-PANEL BROCHURES WITH DETACHABLE VOUCHER AND SURVEY HEALTH PROFESSIONAL EDUCATION HEALTH PROFESSIONAL EDUCATION AT PARK NICOLLET IS COORDINATED BY THE HEALTHPARTNERS INSTITUTE. SEVERAL DEPARTMENTS THROUGHOUT PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL HOST NURSING STUDENTS AND RESIDENTS TO HELP EXPAND THEIR EDUCATION AND GIVE THEM THE PATIENT EXPERIENCE. STUDENTS FROM RADIOLOGY PROGRAMS PERFORM THEIR CLINICAL HOURS AT PARK NICOLLET LOCATIONS. OUR RADIOLOGY TECHNOLOGISTS SUPERVISE AND TEACH THE STUDENTS THE ART OF PERFORMING X-RAYS. OTHER MENTORSHIPS FOR A GRADUATE PROGRAM FOR ANESTHESIA STUDENTS, 1 MEDIAL ASSISTANT, 2 LPN STUDENT ROTATIONS, AN RN STUDENT ROTATION WITH A CARE COORDINATION RN AND 2 DNP STUDENT ROTATIONS WITH MDS. UNDERGRADUATE NURSING STUDENTS CAME TO METHODIST HOSPITAL IN GROUPS OR AS SINGLE STUDENTS FOR CLINICAL EXPOSURE TO THE HEALTH CARE TEAM. SUBSIDIZED HEALTH SERVICES YOUTH SERVED - FOUR SCHOOL-BASED HEALTH CENTERS HAD MORE THAN 5,800 CHILDREN VISITS, PROVIDING FREE MEDICAL VISITS WITHIN THE SCHOOL AND COMMUNITY TO CHILDREN FROM BIRTH TO GRADUATION WHO MAY HAVE BARRIERS TO ACCESSING HEALTH CARE. SERVICES INCLUDED TREATMENT OF MINOR, ACUTE ILLNESSES; PHYSICALS; IMMUNIZATIONS; MENTAL HEALTH THERAPY; DENTAL CARE; AND VISION CHECKS. RESEARCH RESEARCH AT PARK NICOLLET IS COORDINATED AND SPONSORED BY HEALTHPARTNERS INSTITUTE AND EMBEDDED IN DEPARTMENTS AND STRATEGIES ACROSS PARK NICOLLET TO SUPPORT QUALITY INITIATIVES AND THE PATIENT EXPERIENCE. RESEARCH ENCOMPASSES INVESTIGATOR-INITIATED STUDIES, CLINICAL TRIALS, PRACTICE-BASED RESEARCH, OUTCOMES AND QUALITY IMPROVEMENT PROJECTS, DATA ANALYTICS, STATISTICS, SURVEY DEVELOPMENT AND FOCUS GROUPS. ORGANIZATION AWARDS AND ACHIEVEMENTS AT METHODIST HOSPITAL OUR TEAM OF BOARD-CERTIFIED DOCTORS, SPECIALISTS AND HOSPITAL STAFF WORK HARD TO ACHIEVE THE HIGHEST LEVEL OF CARE FOR OUR PATIENTS. WE ARE GRATEFUL TO RECEIVE AWARDS AND RECOGNITION FROM MANY ORGANIZATIONS THAT SHOW OUR DEDICATION TO OUR PATIENTS AND COMMUNITY. WE'RE PROUD TO BE ONE OF THE HIGHEST-PERFORMING HOSPITALS IN THE NATION. METHODIST HOSPITAL IS ONE OF THE WATSON HEALTH 2019 100 TOP HOSPITALS. AWARD-WINNING HOSPITALS DEMONSTRATE TOP PERFORMANCE ON MEASURES OF CLINICAL QUALITY, OPERATIONAL EFFICIENCY, FINANCIAL STABILITY AND PATIENT SATISFACTION. METHODIST IS GETTING NATIONAL RECOGNITION FOR OUR HIGH QUALITY CARE. U.S. NEWS & WORLD REPORT NAMED METHODIST A 2019-20 BEST HOSPITAL. WE WERE ALSO RECOGNIZED AS HIGH PERFORMING IN EIGHT PROCEDURES AND CONDITIONS, AND TIED FOR THIRD BEST HOSPITAL IN THE TWIN CITIES AND FIFTH BEST IN MINNESOTA. THE MAGAZINE'S RANKINGS ARE BASED ON FACTORS LIKE QUALITY OF NURSING, DISCHARGE RATES AND OTHER CARE-RELATED CATEGORIES. EACH YEAR, THE AMERICAN HOSPITAL ASSOCIATION RECOGNIZES HEALTH CARE LEADERSHIP AND INNOVATION IN IMPROVING QUALITY AND ADVANCING HEALTH IN COMMUNITIES WITH THEIR ANNUAL QUEST FOR QUALITY AWARDS. THIS YEAR METHODIST HOSPITAL WAS ONE OF FOUR HOSPITALS NATIONWIDE TO RECEIVE THE QUEST FOR QUALITY CITATION OF MERIT. ALL RECIPIENTS OF THIS AWARD DEMONSTRATE A COMMITMENT TO IMPROVING ACCESS; PROVIDING HIGH QUALITY, SAFE CARE; CREATING VALUE; AND PARTNERING WITH PATIENTS AND FAMILIES; FOCUSING ON WELL-BEING; AND PROVIDING SEAMLESS, COORDINATED CARE. WE ARE PROUD TO BE NAMED ONE OF THE TOP 25 ENVIRONMENTAL EXCELLENCE AWARD BY PRACTICE GREENHEALTH, THEIR HIGHEST HONOR FOR HOSPITALS. THIS AWARD RECOGNIZES HOSPITALS FOR EXCELLENCE AND DEDICATION TO SUSTAINABILITY IN HEALTH CARE. PRACTICE GREENHEALTH IS THE NATION'S LEADING HEALTH CARE SUSTAINABILITY COMMUNITY, EMPOWERING ITS MEMBERS TO IMPROVE THEIR ENVIRONMENTAL STEWARDSHIP. METHODIST ALSO RECEIVED THE 2019 MINNESOTA GOVERNOR'S SAFETY AWARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | PARK NICOLLET HEALTH SERVICES IS THE SOLE MEMBER OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET HEALTH CARE PRODUCTS AND PNMC HOLDINGS. HEALTHPARTNERS, INC. IS THE SOLE MEMBER OF PARK NICOLLET HEALTH SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS ARE THOSE INDIVIDUALS WHO ARE CONTEMPORANEOUSLY MEMBERS OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL DECISIONS, INCLUDING DISSOLUTION OF THE ORGANIZATION, MADE BY THE GOVERNING BODY OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11B | PARK NICOLLET GROUP PREPARES THE FORM 990 WITHIN THE FINANCE DEPARTMENT WITH ASSISTANCE FROM INDIVIDUALS IN HUMAN RESOURCES, MARKETING, OPERATIONS AND LEGAL. UPON COMPLETION OF GATHERING THE NECESSARY INFORMATION FOR THE RETURN, THE FORM WAS REVIEWED BY THE PARK NICOLLET GROUP'S ACCOUNTING FIRM. DRAFTS OF THE FORM WERE ALSO REVIEWED BY THE DIRECTOR OF FINANCE, VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER, THE LEGAL DEPARTMENT AND THE AUDIT AND COMPLIANCE COMMITTEE. AFTER ALL REVIEWS WERE COMPLETE; THE FORM 990 WAS GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE PARK NICOLLET BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE LEGAL DEPARTMENT OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | PARK NICOLLET HEALTH SERVICE'S (PNHS) PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY EITHER GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION, OR BY PNHS. GHI AND PNHS HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE PNHS'S PRESIDENT AND OTHER OFFICERS. EVERY THREE YEARS, THE INDEPENDENT COMPENSATION COMMITTEE OF THE GHI BOARD OF DIRECTORS (THE "COMMITTEE"), RETAINS AN EXTERNAL COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY REVIEW FOR ALL OFFICERS OF THE ORGANIZATION. THE REVIEW INCLUDES ALL COMPONENTS OF TOTAL COMPENSATION: BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE APPROPRIATE COMMITTEE. BASED ON THIS DATA, THE COMPENSATION COMMITTEE OF GHI (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE COMMITTEES' DIRECTION, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE CEO OF GHI CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND DETERMINES THE COMPENSATION OF THE PNHS PRESIDENT. THE PNHS PRESIDENT OR DELEGATED TO THE PNHS PRESIDENT (WITH AUTHORITY TO FURTHER DELEGATE TO EXECUTIVES WITH LEADERSHIP ROLES OF PARK NICOLLET OFFICERS) CONDUCTS ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL PNHS-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS IN EXCESS OF THE APPROVED RANGES NEED TO BE APPROVED BY THE EXECUTIVE COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2 |
| FORM 990, PART VI, SECTION C, LINE 19 | PN GROUP'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSONS WHO REQUESTS THE INFORMATION FROM PNHS. THE GROUP'S ARTICLES OF INCORPORATION ARE AVAILABLE BY ANYONE WHO REQUEST THEM OR THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. THE FORMS 990 ARE AVAILABLE UPON REQUEST OR FROM THE STATE OF MINNESOTA OR AT GUIDESTAR.ORG. |
| FORM 990, PART XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTIONS -20,000. GRANTS RUN THROUGH THE FOUNDATION -2,882,328. CAPITAL CONTRIBUTION 300,000. TRANSFER TO AFFILIATE -436,327. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHPARTNERS INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411693838 | HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(4) | N/A | 0 | ||
| HPI-RAMSEY | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411793333 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| GROUP HEALTH PLAN INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410797853 | STAFF MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HEALTHPARTNERS INC | |
| RH WISCONSIN INC | |||||||||||
| 8171 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 202287016 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| HEALTHPARTNERS INSTITUTE | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411670163 | HEALTHCARE EDUCATION AND RESEARCH | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| CAPITOL VIEW TRANSITIONAL CARE CENTER | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 412011453 | TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HPI - RAMSEY | |
| REGIONS HOSPITAL | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410956618 | HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HPI - RAMSEY | |
| REGIONS HOSPITAL FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411888902 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | MN | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | HPI - RAMSEY | |
| RHSC INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411891928 | HEALTHCARE STAFFING AND INTENSE REHAB SERVICES | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | HPI - RAMSEY | |
| PHYSICIANS NECK & BACK CLINICS | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 270684883 | SPECIALTY PATIENT CARE | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | GROUP HEALTH PLAN INC | |
| HUDSON HOSPITAL INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390804125 | HOSPITAL | WI | 501(C)(3) | 0 | 170(B)(1) (A)(III) | RH-WISCONSIN INC | |
| HUDSON HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391279567 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | HUDSON HOSPITAL INC | |
| LAKEVIEW HEALTH FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411386635 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | LAKEVIEW HEALTH | |
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410811697 | HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | LAKEVIEW HEALTH | |
| STILLWATER MEDICAL GROUP | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 830379473 | CLINIC STAFF AND FACILITIES | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | LAKEVIEW HEALTH | |
| LAKEVIEW HEALTH | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 300221189 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | HPI - RAMSEY | |
| WESTFIELDS HOSPITAL INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390808442 | HOSPITAL | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | RH-WISCONSIN INC | |
| WESTFIELDS HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391770913 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | WESTFIELDS HOSPITAL INC | |
| RAMSEY INTEGRATED HEALTH SERVICES | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411503090 | HOME CARE AND HOSPICE | MN | 501(C)(3) | 0 | 509(A)(2) | HPI - RAMSEY | |
| PARK NICOLLET HEALTH SERVICES | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 363465840 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 0 | 509(A)(2) | HEALTHPARTNERS INC | |
| PARK NICOLLET FOUNDATION | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 237346465 | SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH | MN | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | PARK NICOLLET HEALTH SERVICES | |
| AMERY REGIONAL MEDICAL CENTER INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390908320 | HOSPITAL | WI | 501(C)(3) | 0 | 170(B)(1) (A)(III) | RH-WISCONSIN INC | |
| AMERY REGIONAL MEDICAL CENTER FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391726539 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | AMERY REGIONAL MEDICAL CENTER INC | |
| HUTCHINSON HEALTH | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 841715908 | HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | PARK NICOLLET HEALTH SERVICES | |
| HUTCHINSON HEALTH FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 363317820 | PROVIDE SUPPORT TO HOSPITAL | MN | 501(C)(3) | 0 | 509(A)(3) TYPE III | HUTCHINSON HEALTH | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARK NICOLLET ENTERPRISES | ||||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 411656735 | REAL ESTATE FOR RELATED ORGANICATION | MN | PARK NICOLLET HEATLH SERVICES | C | $44,509 | $10,045,404 | 1.00000 | 0 |
| HEALTHPARTNERS ADMINISTRATORS INC | ||||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411629390 | THIRD PARTY ADMINISTRATOR | MN | HEALTHPARTNERS INC | C | 0 | |||
| HEALTHPARTNERS ASSOCIATES INC | ||||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 522365151 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | |||
| HEALTHPARTNERS SERVICES INC | ||||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411683568 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | |||
| HEALTHPARTNERS INSURANCE COMPANY | ||||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411683523 | MEDICAL AND DENTAL INSURANCE | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | |||
| DENTAL SPECIALTIES INC | ||||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 451297583 | PROFESSIONAL DENTAL SERVICES | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | |||
| HEALTHPARTNERS CENTRAL MINNESOTA CLINICS INC | ||||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411236798 | MEDICAL CLINIC STAFFING | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PARK NICOLLET HEALTH SERVICES | ||
| M | $3,350,060 | COST |
| PARK NICOLLET HEALTH SERVICES | ||
| P | $1,410,349,817 | COST |
| PARK NICOLLET HEALTH SERVICES | ||
| J | $6,984,645 | COST |
| PARK NICOLLET HEALTH SERVICES | ||
| R | $1,642,131,237 | COST |
| HEALTHPARTNERS INC | ||
| L | $114,194,819 | COST |
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